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Texas rates for HCPCS A4707

Bicarbonate conc pow per pac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $5.14 / $5.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $5.14 / $5.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $5.40 / $5.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.18 / $4.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $5.79 / $5.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $5.14 / $10.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.14 / $5.14 / $10.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $14.00