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Mississippi rates for HCPCS Q4115

Alloskin Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $13.50 / $15.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $13.50 / $15.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.93 / $7.93 / $8.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.93 / $7.93 / $7.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $12.86 / $16.72