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Texas rates for HCPCS 15116

Epidermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.31 / $2,128.00 / $7,316.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.22 / $120.22 / $163.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.93 / $12,000.00 / $12,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.97 / $165.64 / $240.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.97 / $165.64 / $259.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,290.00