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Texas rates for HCPCS 24220

Injection procedure for elbow arthrography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.31 / $1,899.00 / $7,316.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.00 / $2,866.00 / $4,277.00
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.95 / $1,149.11 / $5,424.97
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.51 / $55.51 / $188.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.70 / $112.70 / $112.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $556.30 / $800.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.63 / $166.75 / $301.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.70 / $168.37 / $310.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $952.00 / $2,376.00