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Mississippi rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $144.54 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $208.93 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $169.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $218.78 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $131.83 / $213.80