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Mississippi rates for HCPCS Q4208

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.60 / $393.60 / $576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.00 / $408.00 / $576.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.50 / $202.50 / $202.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $408.00 / $408.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $25.00 / $50.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.00 / $480.00 / $624.00