go back

Texas rates for HCPCS A4321

Therapeutic agent for urinary catheter irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.04 / $2.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.38 / $2.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $30.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.45 / $2.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $79.43 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13