go back

Mississippi rates for HCPCS 43634

Gstrct Prtl Dstl W/Frmj Intstinal Pouch

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
$1,929.82 / $2,540.67 / $6,035.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,003.00 / $3,003.00 / $3,003.00
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
$2,001.46 / $3,215.70 / $4,317.76
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
$1,801.31 / $2,517.65 / $5,361.68