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Texas rates for HCPCS 15201

Fth/Gft Fr W/Dir Clsr Trnk Ea Addl 20 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.58 / $2,550.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,954.00 / $4,278.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.65 / $63.65 / $143.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.08 / $16,394.00 / $16,394.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.95 / $126.14 / $205.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.69 / $126.14 / $211.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,290.00