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Texas rates for HCPCS Q4189

Artacent AC, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.02 / $20.52 / $20.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.02 / $20.52 / $21.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $93.83 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.04 / $95.08 / $95.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $25.02 / $43.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.52 / $25.02 / $43.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $21.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $21.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $21.27 / $28.71