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Texas rates for HCPCS Q4258

Enverse, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $90.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $92.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.08 / $111.90 / $305.18
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.41 / $94.77 / $4,311.01
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.28 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $89.75 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.80 / $1,668.00 / $1,668.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.00 / $1,884.84 / $1,884.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.41 / $89.75 / $190.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $112.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.93 / $124.75 / $302.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $189.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $91.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $90.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $89.75 / $121.16