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Mississippi rates for HCPCS Q4253

Zenith Amniotic Membrane Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.58 / $79.58 / $90.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $79.58 / $90.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.00 / $969.00 / $969.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.79 / $75.79 / $75.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.79 / $75.79 / $75.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $20.00 / $25.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $75.79 / $98.53