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Mississippi rates for HCPCS C5271

Application Of Low Cost Skin Substitute Graft To Trunk Arms Legs Total Wound Surface Area Up To 100 Sq Cm; First 25 Sq Cm Or Less Wound Surface Area

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.50 / $1,022.03 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.50 / $29.50 / $29.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.36 / $494.36 / $543.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.00 / $479.00 / $479.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.62 / $339.62 / $747.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $13.20 / $13.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $529.00 / $1,739.00