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Texas rates for HCPCS 15005

Prep Site F/S/N/H/F/G/M/D Gt Addl 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.54 / $2,124.00 / $6,762.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.98 / $786.56 / $3,989.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.69 / $76.69 / $122.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.98 / $12,000.00 / $12,000.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$40.57 / $42.80 / $42.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.12 / $112.89 / $172.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.12 / $112.89 / $177.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,290.00