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Texas rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.35 / $787.68 / $1,344.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.96 / $853.83 / $1,380.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.60 / $640.83 / $2,498.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.41 / $828.50 / $1,363.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $619.00 / $631.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.44 / $1,228.44 / $1,228.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.38 / $1,140.27 / $1,764.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $3,545.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,271.28 / $6,495.04 / $7,393.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.14 / $1,115.47 / $1,681.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.28 / $1,167.24 / $1,556.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.09 / $1,212.09 / $1,212.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.99 / $1,121.72 / $1,709.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.61 / $1,192.73 / $1,811.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $2,064.00 / $4,509.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.49 / $1,002.99 / $1,581.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.93 / $840.43 / $1,170.08