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Texas rates for HCPCS 12016

Simple Repair F/E/E/N/L/M 12.6cm-20.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.39 / $2,500.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.75 / $508.02 / $1,087.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.12 / $148.19 / $259.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.00 / $16,394.00 / $16,394.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.73 / $213.99 / $386.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.73 / $213.99 / $395.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $952.00 / $2,405.00