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Mississippi rates for HCPCS Q4130

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $3,630.78 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $25.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $25.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $134.90