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Texas rates for HCPCS C2615

Sealant, pulmonary, liquid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.37 / $239.37 / $2,305.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.37 / $239.37 / $287.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.65 / $364.65 / $364.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $392.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.80 / $448.80 / $448.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.37 / $239.37 / $679.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.37 / $239.37 / $679.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00