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Mississippi rates for HCPCS 15135

Dermal Autograft F/S/N/H/F/G/M/D Gt 1st 100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.04 / $1,140.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.04 / $987.06 / $1,626.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,955.69 / $1,955.69 / $1,955.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.00 / $1,271.00 / $1,271.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.90 / $2,024.90 / $2,447.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.23 / $1,099.00 / $1,526.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $2,913.00 / $7,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.21 / $940.67 / $1,850.17