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Mississippi rates for HCPCS Q4158

Kerecis Omega3 Per Square Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.64 / $70.64 / $80.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $70.64 / $80.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.15 / $62.15 / $62.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $25.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.91 / $67.27 / $87.45