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Mississippi rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $436.52 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $446.68 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $416.87 / $645.65