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Mississippi rates for HCPCS Q4108

Integra matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $40.47 / $46.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $40.47 / $46.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.00 / $22.00 / $24.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $22.00 / $22.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $38.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $38.54 / $50.10