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Mississippi rates for HCPCS 0613T

Perq Tcat Impltj Intratrl Septal Shunt Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $1,831.00 / $4,786.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.77 / $974.11 / $1,386.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.87 / $455.87 / $455.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,900.00 / $2,900.00 / $3,975.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $42.50 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.00 / $1,236.00 / $5,253.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.58 / $1,668.24 / $3,087.42