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Mississippi rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,831.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,098.44 / $2,763.21 / $6,563.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,865.00 / $2,865.00 / $2,865.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.42 / $3,533.18 / $4,681.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $1,223.00 / $5,253.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.45 / $2,821.28 / $5,985.27