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Mississippi rates for HCPCS Q4155

Neoxflo Or Clarixflo 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.96 / $27.96 / $31.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $27.96 / $31.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.56 / $26.62 / $34.07