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Texas rates for HCPCS 20697

App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.00 / $3,213.00 / $11,453.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,664.50 / $1,941.42 / $2,932.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.96 / $1,106.36 / $3,971.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,689.82 / $2,100.46 / $2,914.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,823.37 / $1,823.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.68 / $1,979.68 / $1,979.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.30 / $2,389.44 / $3,776.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $9,692.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,257.96 / $13,034.08 / $14,362.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.59 / $1,960.09 / $3,567.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,042.00 / $2,462.87 / $3,053.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.07 / $2,276.39 / $3,976.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.59 / $1,976.68 / $3,916.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.23 / $2,581.46 / $3,995.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.00 / $1,529.00 / $3,400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.49 / $2,013.99 / $3,121.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,401.32 / $1,551.59 / $2,231.92