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Mississippi rates for HCPCS 53515

Urtorr Sutr Urethral Wnd/Inj Prostatomembranous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,250.00 / $2,110.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.89 / $2,110.62 / $2,140.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,569.15 / $2,569.15 / $2,569.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,562.00 / $1,562.00 / $1,562.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.65 / $2,608.65 / $4,363.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.11 / $1,331.66 / $1,732.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $3,189.00 / $8,411.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.86 / $1,107.28 / $1,745.42