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Mississippi rates for HCPCS 49605

Rpr Lg Omphalocele/Gastroschisis W/Wo Prosth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.00 / $1,831.00 / $4,566.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,206.57 / $5,321.65 / $13,975.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,318.00 / $8,318.00 / $8,318.00
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
$4,676.68 / $7,548.62 / $10,102.93
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
$4,323.74 / $6,134.37 / $12,804.19