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Texas rates for HCPCS 12057

Repair Intermediate F/E/E/N/L&/Muc >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.00 / $2,514.00 / $7,495.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.31 / $514.09 / $785.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.56 / $511.22 / $1,140.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.75 / $599.36 / $996.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.08 / $373.08 / $626.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.17 / $635.16 / $922.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,876.40 / $16,394.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,025.68 / $4,321.20 / $5,113.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.99 / $561.42 / $825.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.50 / $764.09 / $1,090.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.99 / $561.42 / $833.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.18 / $665.40 / $1,071.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $1,058.00 / $2,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.04 / $626.88 / $908.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.51 / $500.51 / $790.26