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Texas rates for HCPCS A4470

Gravlee Jet Washer (Special Coverage Instructions Apply. See Cim: 50-4 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $3.46 / $3.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $3.46 / $4.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.57 / $34.90 / $36.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $5.50 / $8.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.97 / $3.97 / $3.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $5.50 / $8.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.79 / $4.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $2.91 / $3.93