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Mississippi rates for HCPCS L8001

Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $125.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $123.03 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $72.44 / $112.20