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Mississippi rates for HCPCS 15115

Epidermal Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.00 / $1,140.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.61 / $907.37 / $1,501.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.94 / $1,065.94 / $1,065.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,189.00 / $1,189.00 / $1,189.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.96 / $1,014.96 / $2,447.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.79 / $1,037.83 / $1,513.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $1,467.00 / $4,939.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.65 / $906.72 / $1,870.14