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Texas rates for HCPCS 26390

Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.00 / $3,620.00 / $12,377.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.75 / $896.31 / $1,482.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,486.46 / $9,092.56 / $18,185.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.30 / $1,009.46 / $1,415.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $824.70 / $828.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.19 / $993.19 / $993.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.37 / $1,129.29 / $1,715.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,254.64 / $25,201.85 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,310.08 / $6,509.84 / $7,510.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.40 / $1,082.91 / $1,689.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.90 / $1,288.68 / $1,597.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.41 / $1,462.61 / $3,201.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$833.81 / $1,088.82 / $1,736.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.81 / $1,157.34 / $1,754.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.20 / $896.46 / $1,403.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.23 / $827.96 / $1,158.68