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Mississippi rates for HCPCS J1458

Galsulfase Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.20 / $606.61 / $610.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $534.20 / $686.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.64 / $452.64 / $453.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.87 / $508.76 / $508.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.76 / $508.76 / $508.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.41 / $508.76 / $651.21