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Mississippi rates for HCPCS A9604

Sm 153 Lexidronam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,022.36 / $16,022.36 / $23,447.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,022.36 / $23,447.35 / $26,378.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,150.18 / $8,150.18 / $8,150.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,150.18 / $8,150.18 / $8,150.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $16,608.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,608.54 / $16,608.54 / $16,608.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,883.41 / $4,314.91 / $17,259.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,631.56 / $16,282.88 / $21,167.74