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Mississippi rates for HCPCS Q4101

Apligraf Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.74 / $31.74 / $36.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $31.74 / $36.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.00 / $41.00 / $45.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $41.00 / $41.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $42.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.81 / $30.23 / $39.29