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Mississippi rates for HCPCS Q4190

Artacent ac, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.93 / $117.93 / $134.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.32 / $117.93 / $134.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.32 / $112.32 / $112.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.32 / $112.32 / $112.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.70 / $112.32 / $146.02