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Mississippi rates for HCPCS 12004

Simple Rpr Scalp/Neck/Ax/Genit/Trunk 7.6-12.5cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.39 / $750.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.72 / $110.74 / $241.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.13 / $286.13 / $286.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.00 / $241.00 / $241.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.28 / $171.28 / $171.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $135.54 / $259.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $485.00 / $1,650.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.54 / $141.34 / $275.11