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Texas rates for HCPCS 35697

Rimpltj Visc Art Infrarnl Aortic Prosth Ea Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.25 / $3,596.00 / $10,836.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.72 / $129.72 / $129.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $658.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.36 / $194.36 / $397.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.36 / $200.03 / $397.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00