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Mississippi rates for HCPCS 21147

Rcnstj Midface Lefort I 3/> Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $1,831.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.81 / $1,683.03 / $3,747.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.00 / $2,679.00 / $2,679.00
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
$1,636.78 / $2,617.69 / $3,600.47
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
$1,490.27 / $1,872.73 / $3,790.50