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Mississippi rates for HCPCS Q4157

Revitalon Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.84 / $171.84 / $251.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.65 / $178.13 / $251.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.60 / $188.60 / $188.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.13 / $178.13 / $178.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.13 / $178.13 / $178.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $25.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.82 / $202.90 / $263.77