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Mississippi rates for HCPCS Q4196

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.08 / $106.08 / $121.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $106.08 / $121.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.30 / $79.30 / $87.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $120.96 / $120.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.03 / $101.03 / $101.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.03 / $101.03 / $108.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.98 / $101.03 / $131.34