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Texas rates for HCPCS A4750

Blood Tubing Arterial Or Venous For Hemodialysis Each (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $6.94 / $7.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $6.46 / $8.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $2.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.59 / $10.59 / $10.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.14 / $69.81 / $70.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.47 / $9.75 / $16.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.40 / $11.40 / $16.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $9.93 / $16.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $6.87 / $6.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.37 / $9.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.66 / $6.66 / $9.32