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Texas rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.27 / $4,028.00 / $13,401.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.54 / $1,031.11 / $1,604.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,149.00 / $7,518.32 / $14,454.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.65 / $1,001.96 / $1,636.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$889.03 / $889.03 / $903.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.74 / $1,250.67 / $1,807.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,614.87 / $9,966.91 / $9,966.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.15 / $1,107.13 / $1,574.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.48 / $1,583.17 / $1,978.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.15 / $1,145.41 / $1,646.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.77 / $1,307.64 / $1,981.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,237.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.02 / $1,054.90 / $1,546.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.49 / $959.34 / $1,332.87