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Mississippi rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.72 / $801.03 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.80 / $377.75 / $801.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.14 / $290.14 / $290.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $350.00 / $350.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.47 / $282.47 / $1,124.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.94 / $334.05 / $579.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $513.00 / $1,581.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.89 / $402.40 / $754.74