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Texas rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.69 / $120.52 / $4,458.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $167.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.50 / $136.50 / $136.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $79.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.21 / $63.21 / $600.00