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Texas rates for HCPCS 20103

Exploration Penetrating Wound Spx Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.00 / $2,124.00 / $7,497.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.91 / $890.61 / $2,055.73
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $742.29 / $4,000.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $309.32 / $316.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$585.12 / $585.12 / $585.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,709.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.90 / $560.46 / $901.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.34 / $563.20 / $915.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.00 / $1,529.00 / $3,287.00