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Mississippi rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.32 / $1,647.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.32 / $1,147.06 / $2,247.98
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
$1,760.00 / $1,760.00 / $1,760.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,902.43 / $4,368.72 / $6,486.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.61 / $1,577.31 / $2,318.41
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
$1,016.21 / $1,309.14 / $3,104.76