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Texas rates for HCPCS A4929

Tourniquet for dialysis, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.26 / $0.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.16 / $2.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.35 / $0.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.35 / $0.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.22 / $0.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.46