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Mississippi rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.81 / $225.28 / $940.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.60 / $227.42 / $353.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.85 / $296.85 / $296.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.70 / $306.70 / $306.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.70 / $306.70 / $306.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $301.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $216.08 / $301.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.94 / $197.46 / $312.64