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Mississippi rates for HCPCS 25490

Proph Tx N/P/Pltwr W/Wo Methylacrylate Radius

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.77 / $1,384.75 / $2,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.15 / $701.41 / $1,564.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,644.37 / $3,644.37 / $3,644.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.00 / $1,523.00 / $1,523.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,244.37 / $3,632.03 / $4,015.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.37 / $1,142.65 / $1,581.06
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
$636.23 / $801.74 / $1,848.83