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Mississippi rates for HCPCS Q4125

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.91 / $138.91 / $138.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.91 / $138.91 / $138.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.47 / $151.47 / $166.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $5.32 / $5.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $25.00 / $50.00