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Texas rates for HCPCS 0055T

Cptr-Asst Muscskel Navigj Ortho Ct/Mri

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $2,965.00 / $10,457.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.77 / $201.88 / $376.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.00 / $183.00 / $485.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.00 / $2,866.00 / $4,277.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.00 / $400.00 / $400.00
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $5,069.04 / $8,000.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.72 / $215.75 / $306.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.87 / $238.87 / $238.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.00 / $213.75 / $996.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.89 / $967.31 / $1,054.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.92 / $1,553.04 / $1,808.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.06 / $241.18 / $411.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.99 / $222.07 / $990.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.09 / $639.30 / $809.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.95 / $244.66 / $411.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.20 / $270.44 / $996.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.44 / $194.78 / $537.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.12 / $219.25 / $299.54