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Texas rates for HCPCS A4680

Activated carbon filter, ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.87 / $36.64 / $40.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.85 / $34.11 / $42.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $14.50 / $14.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.29 / $118.29 / $118.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.83 / $233.65 / $242.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.54 / $358.32 / $373.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.74 / $50.96 / $85.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.10 / $52.17 / $86.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.29 / $36.29 / $36.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $28.36 / $51.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $52.50