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Texas rates for HCPCS A4760

Dialysate solution test kit, for peritoneal dialysis, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.97 / $24.97 / $24.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.97 / $24.97 / $36.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
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
$0.90 / $0.90 / $0.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.97 / $24.97 / $52.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.97 / $24.97 / $52.94
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
$2.00 / $2.00 / $2.80