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Mississippi rates for HCPCS A4617

Mouth Piece (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

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
$1.32 / $3.06 / $3.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $3.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.53 / $3.53 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.36 / $3.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $3.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $2.04 / $3.05