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Texas rates for HCPCS A4773

Occult blood test strips, for dialysis, per 50

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.22 / $9.16 / $10.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $8.52 / $10.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $13.11 / $13.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.21 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.34 / $91.87 / $93.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.22 / $12.74 / $21.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $15.00 / $15.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.53 / $13.05 / $21.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $7.09 / $12.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.52 / $10.52 / $14.73