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Mississippi rates for HCPCS L8039

Breast Prosthesis Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $47.06 / $47.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $47.06 / $776.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.85 / $353.85 / $389.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.00 / $337.00 / $337.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,657.39 / $3,657.39 / $3,657.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $25.00