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Mississippi rates for HCPCS A4211

Supplies For Self-Administered Injections (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $6.11 / $6.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $5.82 / $5.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $30.00