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Texas rates for HCPCS A4617

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $2.84 / $7.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.80 / $3.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $3.03 / $5.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $5.65 / $12.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.33 / $4.33 / $4.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $1.77
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
$32.47 / $44.16 / $45.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $4.33 / $8.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.98 / $4.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $5.90 / $9.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.37 / $4.32 / $8.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $1.77 / $4.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.00 / $3.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $4.33 / $5.85