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Texas rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $133.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $144.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.58 / $291.58 / $291.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.43 / $131.90 / $131.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $131.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.50 / $637.37 / $637.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,287.69 / $2,287.69 / $2,287.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.22 / $142.86 / $279.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $164.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.44 / $205.54 / $324.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.90 / $131.90 / $279.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $174.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $133.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $142.86 / $178.07