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Texas rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.09 / $2,449.00 / $7,316.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.93 / $300.58 / $446.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.58 / $482.46 / $1,083.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.30 / $347.21 / $510.70
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.44 / $396.62 / $845.63
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.71 / $208.71 / $417.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.00 / $193.00 / $378.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.87 / $377.80 / $567.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.90 / $16,394.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.80 / $2,732.88 / $3,199.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.50 / $328.63 / $511.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.08 / $428.92 / $685.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.64 / $354.51 / $447.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.50 / $328.77 / $521.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.35 / $392.92 / $654.13
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
$290.16 / $386.88 / $560.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.72 / $354.51 / $496.31