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Mississippi rates for HCPCS L8001

Breast Prosthesis Mastectomy Bra With Integratedbreast Prosthesis Form Unilateral Any Size Any Type (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.31 / $85.31 / $133.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.08 / $124.04 / $133.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.11 / $105.11 / $105.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.97 / $117.97 / $117.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.97 / $117.97 / $117.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.15 / $98.15 / $98.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.65 / $71.65 / $98.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.99 / $75.95 / $120.13