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Mississippi rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $1,831.00 / $3,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.75 / $2,082.67 / $4,533.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,118.87 / $3,118.87 / $3,118.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,335.00 / $3,335.00 / $3,335.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $6,486.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.99 / $3,105.58 / $3,828.23
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 / $4,148.00 / $12,216.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.77 / $2,174.76 / $4,414.76