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Mississippi rates for HCPCS 15572

Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $1,140.00 / $2,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.83 / $949.55 / $1,609.56
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
$1,112.00 / $1,112.00 / $1,112.00
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
$634.22 / $1,028.94 / $1,465.91
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
$734.51 / $951.13 / $2,058.82