go back

Mississippi rates for HCPCS A4470

Gravlee Jet Washer (Special Coverage Instructions Apply. See Cim: 50-4 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.60 / $4.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $16.50 / $16.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.41 / $5.20