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Mississippi rates for HCPCS A6262

Wound Filler Dry Form Per Gram Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.55 / $0.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.83 / $3.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.37 / $0.76