go back

Mississippi rates for HCPCS Q4110

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.68 / $68.68 / $78.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $68.68 / $78.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.00 / $42.00 / $46.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $42.00 / $42.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.40 / $65.40 / $65.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.40 / $65.40 / $65.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.84 / $65.41 / $85.03