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Texas rates for HCPCS 0058U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.78 / $565.84 / $1,585.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.86 / $213.15 / $274.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.07 / $788.02 / $1,669.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.95 / $322.95 / $875.59
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.66 / $403.70 / $565.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.48 / $738.25 / $1,438.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.17 / $393.13 / $471.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.74 / $1,534.06 / $1,534.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.80 / $1,614.80 / $2,422.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.78 / $322.95 / $481.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.81 / $322.95 / $403.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.37 / $350.99 / $1,172.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.93 / $387.55 / $465.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.63 / $150.72 / $215.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $125.95 / $322.95