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Texas rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.00 / $864.00 / $1,080.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,376.68 / $2,400.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.94 / $3,160.00 / $3,160.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.80 / $1,178.72 / $1,908.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00