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Mississippi rates for HCPCS Q4191

Restorigin, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.07 / $688.07 / $786.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $688.07 / $786.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.29 / $655.29 / $655.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $655.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $25.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.54 / $655.29 / $851.89