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Texas rates for HCPCS 99474

Self-measured blood pressure using a device validated for clinical accuracy; separate self-measurements of two readings one minute apart, twice daily over a 30-day period (minimum of 12 readings), collection of data reported by the patient and/or caregiver to the physician or other qualified health care professional, with report of average systolic and diastolic pressures and subsequent communication of a treatment plan to the patient

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $10.86 / $15.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $13.52 / $15.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.84 / $9.52 / $14.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $15.05 / $25.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.28 / $55.28 / $94.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $18.98 / $29.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $19.80 / $22.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.93 / $15.92 / $27.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $15.80 / $24.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $16.51 / $22.40