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Mississippi rates for HCPCS Q4174

Palingen Or Promatrx 0.36 Mg Per 0.25 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.08 / $1,225.08 / $1,792.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.20 / $1,269.90 / $1,792.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.80 / $1,441.80 / $1,441.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.90 / $1,269.90 / $1,269.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.90 / $1,269.90 / $1,269.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.50 / $1,245.00 / $1,618.50