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Mississippi rates for HCPCS 21175

Rcnstj Bifrontal Superior-Lat Orb Rims & Lwr 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
$1,946.05 / $2,141.51 / $4,830.14
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
$4,087.00 / $4,087.00 / $4,087.00
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
$2,086.79 / $3,452.03 / $4,629.91
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 / $3,968.00 / $10,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.24 / $2,440.00 / $4,774.47