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Mississippi rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $1,831.00 / $2,735.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.04 / $1,397.88 / $3,090.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,436.00 / $2,436.00 / $2,436.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.01 / $2,234.55 / $2,921.92
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 / $3,956.00 / $10,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.56 / $1,630.02 / $3,748.50