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Mississippi rates for HCPCS 12041

Repair Intermediate N/H/F/Xtrnl Gent 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.32 / $750.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.73 / $219.43 / $410.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $101.00 / $101.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.88 / $569.88 / $569.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.00 / $308.00 / $308.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.71 / $183.71 / $382.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.69 / $244.68 / $475.73
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 / $546.00 / $1,650.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.77 / $257.64 / $566.42