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Mississippi rates for HCPCS 15760

Graft Composite W/Primary Closure Donor Area

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
$586.01 / $861.81 / $1,553.82
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
$1,191.00 / $1,191.00 / $1,191.00
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
$604.91 / $986.14 / $1,426.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $1,305.00 / $3,046.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.81 / $926.05 / $1,782.94