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Mississippi rates for HCPCS L8002

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.23 / $112.23 / $175.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.35 / $163.16 / $175.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.19 / $155.19 / $155.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.19 / $155.19 / $155.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.62 / $120.62 / $120.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $88.05 / $120.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.18 / $99.91 / $158.03