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Mississippi rates for HCPCS 13122

Repair Complex Scalp/Arm/Leg Ea Addl 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.32 / $784.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.98 / $106.32 / $234.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.00 / $157.00 / $157.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.16 / $133.33 / $217.69
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 / $529.00 / $1,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.68 / $134.52 / $275.52