go back

Mississippi rates for HCPCS Q4173

PalinGen or PalinGen XPlus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.47 / $366.47 / $418.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $366.47 / $418.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.00 / $270.00 / $270.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.01 / $349.01 / $349.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $349.01 / $349.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.57 / $349.02 / $453.73