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Mississippi rates for HCPCS 15130

Dermal Autograft Trunk/Arm/Leg 1st 100 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.00 / $1,017.40 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.98 / $770.05 / $1,327.90
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
$1,035.00 / $1,035.00 / $1,035.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.96 / $1,014.96 / $4,002.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.28 / $817.96 / $1,171.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $2,148.00 / $6,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.62 / $728.54 / $1,507.30