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Mississippi rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.41 / $750.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.41 / $213.07 / $514.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.00 / $415.00 / $1,295.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.00 / $248.00 / $248.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.14 / $194.51 / $373.46
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 / $4,939.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.51 / $265.25 / $488.34