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Texas rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $65.88 / $66.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $70.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.15 / $65.88 / $65.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.50 / $282.77 / $360.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,978.60 / $3,978.60 / $3,978.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $66.34 / $139.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $82.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.15 / $144.10 / $302.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $65.88 / $139.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $80.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $65.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.05 / $65.88 / $88.94