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Texas rates for HCPCS Q4134

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $163.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.66 / $162.08 / $163.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $163.61
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.54 / $238.54 / $238.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.25 / $162.08 / $281.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.10 / $225.29 / $364.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.08 / $162.08 / $343.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $162.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $164.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $162.08 / $218.81