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Mississippi rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.00 / $1,502.00 / $2,575.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.33 / $1,578.29 / $2,796.62
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
$1,606.00 / $1,606.00 / $1,606.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,018.06 / $3,018.06 / $3,018.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.87 / $1,157.41 / $1,575.18
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 / $9,302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.14 / $1,094.08 / $2,400.21