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Texas rates for HCPCS Q4218

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $123.00 / $123.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $123.00 / $127.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $217.50 / $562.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.00 / $570.00 / $570.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.40 / $150.00 / $260.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.10 / $205.54 / $302.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $150.00 / $260.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $127.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.50 / $127.50 / $172.13