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Mississippi rates for HCPCS Q4194

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.81 / $696.81 / $796.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $696.81 / $796.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.00 / $288.00 / $288.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.63 / $663.63 / $663.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $25.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.45 / $663.63 / $862.72