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Mississippi rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.00 / $1,040.00 / $5,053.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.44 / $423.12 / $5,053.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,582.00 / $6,582.00 / $10,028.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,629.00 / $4,629.00 / $4,629.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,038.53 / $4,038.53 / $4,038.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.99 / $2,038.78 / $6,640.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $5,261.00 / $14,043.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,702.93 / $4,197.05 / $7,009.20