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Mississippi rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.00 / $1,502.00 / $2,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.40 / $887.71 / $1,985.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.52 / $2,920.52 / $2,920.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.00 / $1,559.00 / $1,559.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.92 / $3,018.06 / $3,336.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.42 / $1,419.43 / $1,899.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,572.00 / $9,515.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.23 / $1,006.85 / $2,043.85