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Texas rates for HCPCS 15261

Fth/Gft Free W/Dir Clsr N/E/E/L Ea Addl 20 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.99 / $2,514.00 / $7,495.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.76 / $169.08 / $250.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $1,954.00 / $4,278.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.38 / $189.60 / $273.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.60 / $110.60 / $201.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.55 / $213.53 / $328.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$661.68 / $16,394.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.00 / $2,266.96 / $2,266.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.89 / $190.95 / $298.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.94 / $247.05 / $367.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.07 / $186.96 / $256.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.89 / $190.95 / $303.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.18 / $225.15 / $366.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $2,290.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.63 / $218.04 / $330.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.68 / $190.62 / $266.87