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Texas rates for HCPCS A4616

Tubing (Oxygen) Per Foot (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 3312)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $5.00 / $6.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $5.30 / $5.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.08 / $0.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.07 / $0.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.11 / $0.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.08 / $0.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.11