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Texas rates for HCPCS C1052

Hemostatic Agent, Gi, Topic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,514.01 / $2,329.25 / $7,645.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.98 / $660.98 / $660.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $16.43 / $39.69
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,224.65 / $2,224.65 / $2,379.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.98 / $660.98 / $892.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.98 / $660.98 / $1,057.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00