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Texas rates for HCPCS 30210

Displacement therapy (Proetz type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $147.91 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $144.54 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $165.96 / $295.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,288.25 / $1,288.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $154.88 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $87.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $316.23 / $407.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $169.82 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $138.04 / $229.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $158.49 / $158.49