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Mississippi rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,491.98 / $2,491.98 / $3,893.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,339.23 / $3,623.10 / $3,893.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,445.88 / $3,445.88 / $3,445.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,445.88 / $3,445.88 / $3,445.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.59 / $3,060.59 / $3,060.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $3,932.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.07 / $2,218.42 / $3,285.18