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Texas rates for HCPCS A4673

Extension line with easy lock connectors, used with dialysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
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
$23.99 / $30.90 / $30.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $10.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $10.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $79.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.62