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Mississippi rates for HCPCS Q4258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.23 / $94.23 / $107.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $94.23 / $107.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.26 / $89.75 / $116.68