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Mississippi rates for HCPCS Q4137

Amnioexcel Aminoexcel Plus Or Biodexcel Per Square Centimeter (Desc Rvsd 1/1/19)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.80 / $106.80 / $122.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $106.80 / $122.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $171.00 / $171.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $101.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.63 / $101.72 / $132.24