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Mississippi rates for HCPCS 21089

Unlisted Maxillofacial Prosthetic Procedure

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.58 / $1,000.00 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $21.25 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $513.00 / $1,739.00