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Texas rates for HCPCS A4310

Insertion Tray Without Drainage Bag And Without Catheter (Accessories Only) (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $6.02 / $6.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $6.11 / $9.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $10.36 / $25.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.37 / $4.37
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $6.88 / $6.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.48 / $7.48 / $7.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.48 / $6.48 / $12.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $5.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.90 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.96 / $59.36 / $80.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.10 / $7.22 / $11.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $8.71 / $9.17
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $12.40 / $19.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.10 / $7.31 / $12.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $8.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.81 / $4.97 / $6.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $9.17 / $12.38