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Mississippi rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.85 / $936.00 / $2,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.75 / $471.64 / $956.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.58 / $697.58 / $697.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.00 / $481.00 / $481.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.48 / $680.07 / $1,124.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.19 / $546.61 / $869.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.00 / $1,305.00 / $3,046.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.83 / $547.90 / $1,164.93