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Mississippi rates for HCPCS C5277

Application Of Low Cost Skin Substitute Graft To Face Scalp Eyelids Mouth Neck Ears Orbits Genitalia Hands Feet And/Or Multiple Digits Total Wound Surface Area Greater Than Or Equal To 100 Sq Cm; First 100 Sq Cm Wound Surface Area Or 1% Of Body Area Of Infants And Children

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.00 / $1,250.00 / $1,831.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.36 / $494.36 / $543.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.00 / $527.00 / $527.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.62 / $339.62 / $747.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $529.00 / $1,739.00