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Texas rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $34.49 / $34.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.49 / $34.49 / $34.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.29 / $26.29 / $26.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.03 / $69.03 / $69.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $950.51 / $950.51
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.28 / $122.28 / $122.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $34.49 / $57.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.49 / $34.49 / $53.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $32.20 / $32.20