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Texas rates for HCPCS 38790

Injection Procedure Lymphangiography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$487.00 / $2,181.00 / $7,513.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$934.50 / $934.50 / $934.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.00 / $2,673.00 / $4,277.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.16 / $74.16 / $78.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.10 / $92.10 / $92.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $209.24 / $2,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.19 / $107.44 / $439.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.55 / $109.07 / $439.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $952.00 / $2,376.00