go back

Texas rates for HCPCS A4321

Therapeutic Agent For Urinary Catheter Irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,456.92 / $5,456.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $5.40 / $5.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.31 / $3.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.31 / $3.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $8.10 / $10.94