go back

Mississippi rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.40 / $710.00 / $4,338.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.63 / $626.91 / $800.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.35 / $628.35 / $628.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $451.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $383.95 / $451.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.72 / $404.52 / $561.04