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Mississippi rates for HCPCS 54390

Plastic Rpr Penis Epispadias W/Exstrophy Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $1,320.00 / $2,825.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.31 / $2,260.71 / $3,192.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.00 / $2,456.00 / $2,456.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.75 / $1,986.44 / $2,740.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.00 / $3,572.00 / $10,251.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.71 / $1,492.50 / $3,046.94