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Texas rates for HCPCS A4860

Disposable Catheter Tips For Peritoneal Dialysis Per 10 (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $7.20 / $7.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.52 / $15.52 / $15.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.01 / $1.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $1.23