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Texas rates for HCPCS 31622

Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.09 / $2,550.00 / $7,911.34
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$65.23 / $101.98 / $169.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.34 / $232.97 / $366.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.45 / $112.49 / $123.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,141.25 / $2,160.21 / $4,277.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.12 / $225.91 / $380.14
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.56 / $1,797.33 / $4,100.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.22 / $145.99 / $283.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.45 / $1,711.50 / $1,711.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.07 / $1,137.07 / $1,137.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.05 / $255.35 / $478.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.05 / $12,000.00 / $12,000.00
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$472.30 / $507.15 / $507.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.00 / $1,812.48 / $2,099.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.79 / $273.55 / $522.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.00 / $253.05 / $437.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.87 / $231.36 / $335.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.79 / $279.57 / $534.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.18 / $263.80 / $494.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $2,064.00 / $4,509.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.62 / $312.55 / $483.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.61 / $234.26 / $329.48