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Mississippi rates for HCPCS 31623

Brnchsc Brushing/Protected Brushings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.46 / $1,250.00 / $3,573.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.96 / $292.32 / $613.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.31 / $74.31 / $81.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.20 / $795.20 / $795.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.00 / $423.00 / $423.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.48 / $819.48 / $1,834.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.11 / $283.88 / $422.45
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
$247.65 / $364.45 / $729.86