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Texas rates for HCPCS 01500

Anesthesia Arteries Lower Leg W/Bypass Graft Nos

Insurance Carrier
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$286.00 / $1,280.00 / $1,520.00
Lucent Health
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$37.00 / $39.50 / $52.00
Lucent Health
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$37.00 / $39.50 / $52.00
Lucent Health
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$37.00 / $39.50 / $52.00
Providence
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$366.30 / $366.30 / $366.30
Providence
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$366.30 / $366.30 / $366.30
Providence
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$366.30 / $366.30 / $366.30