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Texas rates for HCPCS 0109U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.14 / $249.89 / $700.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.87 / $94.14 / $121.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $142.63 / $142.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.01 / $327.64 / $635.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $173.80 / $208.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.21 / $677.49 / $677.49
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.15 / $713.15 / $1,069.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.58 / $142.63 / $200.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.50 / $142.63 / $178.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.88 / $149.78 / $513.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.10 / $171.16 / $249.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.90 / $59.90 / $85.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $55.63 / $142.63