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Mississippi rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.58 / $499.87 / $499.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.58 / $354.08 / $499.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.04 / $319.04 / $350.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.54 / $367.96 / $367.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $367.96 / $367.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.24 / $357.54 / $457.65