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Mississippi rates for HCPCS Q4106

Dermagraft, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.85 / $36.85 / $53.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.96 / $38.20 / $53.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.00 / $43.00 / $47.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $43.00 / $43.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.94 / $44.94 / $47.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.39 / $50.94 / $66.22