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Mississippi rates for HCPCS 95875

Ischemic Limb Xers Tst Spec Acquisj Metab

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.17 / $147.99 / $252.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $118.00 / $118.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.27 / $157.91 / $203.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $93.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.46 / $135.21 / $211.73