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Mississippi rates for HCPCS Q4183

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $82.00 / $120.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $85.00 / $120.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.77 / $106.77 / $106.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $25.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.87 / $160.91 / $209.20