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Texas rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.89 / $27.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.90 / $29.90 / $29.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $26.62 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $126.78 / $126.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.89 / $38.07 / $39.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.07 / $25.07 / $26.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $26.62 / $38.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $28.72 / $35.94