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Mississippi rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $1,000.00 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $25.12 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $537.03 / $1,621.81