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Texas rates for HCPCS Q4115

Alloskin Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $14.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.03 / $35.92 / $72.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.13 / $12.86 / $12.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.88 / $66.88 / $66.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $14.48 / $19.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $16.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $15.00 / $205.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.32 / $12.86 / $19.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $16.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $12.86 / $12.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $14.48 / $17.36