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Mississippi rates for HCPCS 50391

Instlj Ther Agent Renal Pelvis&/Ureter Via Tub

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.54 / $784.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.55 / $261.49 / $335.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.80 / $63.80 / $63.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.00 / $331.00 / $331.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.87 / $51.87 / $371.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.83 / $176.58 / $261.29
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 / $485.50 / $1,650.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.07 / $170.68 / $298.57