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Texas rates for HCPCS Q4130

Strattice, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,548.13 / $4,265.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $120.23 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $154.88 / $186.21
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
$5.62 / $13.80 / $169.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $10.96 / $223.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $32.36 / $50.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $245.47 / $302.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $25.12 / $229.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $125.89 / $125.89