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Mississippi rates for HCPCS 75803

Lymphangiography Extremity Only Bilateral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.91 / $2,019.34 / $2,604.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.13 / $1,895.01 / $2,604.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.00 / $1,052.00 / $1,157.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.00 / $386.00 / $386.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.58 / $840.32 / $1,606.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.28 / $341.06 / $502.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,191.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.51 / $1,437.18 / $2,367.12