go back

Mississippi rates for HCPCS A4707

Bicarbonate conc pow per pac

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $5.14 / $5.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.91 / $24.91 / $24.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $21.25 / $50.00