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Texas rates for HCPCS A4397

Irrigation supply; sleeve, each

Insurance Carrier
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $5.13 / $6.17
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
$23.44 / $23.44 / $23.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $2.57 / $4.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.75 / $3.09