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Texas rates for HCPCS B9004

Parenteral nutrition infusion pump, portable

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,077.32 / $3,109.37 / $3,205.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,340.04 / $3,173.48 / $3,461.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.93 / $405.93 / $405.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $7,431.44 / $17,388.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $3,097.26 / $4,446.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.53 / $1,454.09 / $3,477.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.28 / $3,173.48 / $4,538.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,337.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,172.41 / $2,751.70 / $3,783.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.90 / $1,868.90 / $2,523.02