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Texas rates for HCPCS 0643T

Transcatheter L Ventr Restoration Device Impltj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$983.00 / $4,185.00 / $14,841.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,410.00 / $7,624.00 / $16,426.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,314.00 / $11,534.00 / $20,567.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $12,112.00 / $25,655.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.61 / $1,148.61 / $1,550.64