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Mississippi rates for HCPCS J7340

Carbidopa 5 Mg/Levodopa 20 Mg Enteral Suspension 100 Ml (Desc Revised 01/01/2017) Dermal And Epidermal (Substitute) Tissue Of Humanorigin With Or Without Bioengineered Or Processed Elements With Metabolically Active Elements Per Square Centimeter (Del 12/31/08)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.79 / $291.77 / $292.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $255.79 / $292.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.94 / $1.94 / $2.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $243.61 / $243.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.25 / $243.61 / $316.69