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Texas rates for HCPCS 28630

Cltx Metatarsophlngl Jt Dislc W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.34 / $143.88 / $240.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.72 / $143.87 / $216.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.47 / $177.78 / $280.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.00 / $1,135.68 / $1,330.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.97 / $199.32 / $273.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.44 / $219.68 / $428.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.70 / $182.28 / $297.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.53 / $162.16 / $254.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.85 / $147.91 / $207.21