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Mississippi rates for HCPCS A2014

Omeza Collagen Matrix or Omeza Complete Matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $125.89 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $25.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $128.82 / $144.54