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Missouri rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $53.70 / $114.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15