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Mississippi rates for HCPCS 15769

Grafting Of Autologous Soft Tiss By Direct Exc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.45 / $1,831.00 / $2,289.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.20 / $491.67 / $887.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,594.68 / $3,594.68 / $3,954.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.00 / $621.00 / $621.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.90 / $2,024.90 / $2,024.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.19 / $649.95 / $892.20
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 / $3,066.00 / $8,411.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.17 / $513.23 / $1,063.40