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Mississippi rates for HCPCS Q4195

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.84 / $102.84 / $117.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $102.84 / $117.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.88 / $81.88 / $90.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.24 / $111.24 / $113.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.94 / $97.94 / $97.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.94 / $97.94 / $98.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.02 / $97.94 / $127.32