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Mississippi rates for HCPCS A6025

Gel Sheet For Dermal Or Epidermal Application (E.G. Silicone Hydrogel Other) Each. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.56 / $13.56 / $13.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $13.56 / $16.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.12 / $28.12 / $30.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.16 / $24.16 / $24.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.47 / $13.47 / $14.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $25.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $9.08 / $19.59