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Mississippi rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $25.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $95.50 / $125.89