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Mississippi rates for HCPCS A2005

Microlyte Matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $199.53 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $223.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $42.66 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $257.04