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Texas rates for HCPCS 15860

Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $2,107.00 / $7,316.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.77 / $570.84 / $1,232.57
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.75 / $249.31 / $4,000.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.88 / $49.88 / $91.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.82 / $120.82 / $120.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$11.78 / $11.78 / $11.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $264.43 / $1,300.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$23.89 / $51.03 / $51.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.89 / $137.01 / $211.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.89 / $137.04 / $223.94
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$11.78 / $11.78 / $11.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $952.00 / $2,376.00