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Texas rates for HCPCS E1594

Cycler Dialysis Machine For Peritoneal Dialysis (Special Coverage Instructions Apply)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.68 / $369.68 / $369.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.68 / $369.68 / $421.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.05 / $1,408.05 / $1,408.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,408.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.68 / $369.68 / $1,049.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.68 / $369.68 / $1,049.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $529.20