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Texas rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $89.41 / $90.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $94.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,456.92 / $5,456.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.40 / $149.40 / $149.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.35 / $89.41 / $89.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $384.93 / $384.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.14 / $436.14 / $436.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $93.11 / $189.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $111.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.56 / $148.10 / $302.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $89.41 / $189.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $118.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $90.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.18 / $89.41 / $120.70