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Mississippi rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.67 / $734.29 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.67 / $339.52 / $630.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.64 / $332.64 / $332.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.48 / $326.48 / $326.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.00 / $623.00 / $623.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.62 / $339.62 / $747.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.18 / $404.22 / $620.39
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 / $513.00 / $1,581.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.47 / $427.38 / $843.74