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Texas rates for HCPCS 12011

Simple Repair F/E/E/N/L/M 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.04 / $629.21 / $4,121.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.32 / $91.06 / $187.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.90 / $52.88 / $119.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.28 / $279.57 / $621.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.07 / $89.02 / $143.99
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.64 / $26.64 / $1,108.80
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.79 / $83.02 / $178.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.84 / $52.84 / $133.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.88 / $118.10 / $196.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $384.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.00 / $918.11 / $952.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $109.03 / $224.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.53 / $109.01 / $196.22
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.00 / $1,883.43 / $3,226.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.31 / $115.32 / $226.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.74 / $105.52 / $197.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.29 / $118.16 / $205.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $952.00 / $2,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.26 / $115.69 / $184.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.04 / $104.84 / $146.78