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Texas rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.00 / $3,213.00 / $11,453.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.38 / $1,020.52 / $1,426.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,999.43 / $3,414.76 / $11,269.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.43 / $957.06 / $1,272.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.70 / $877.70 / $892.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.13 / $1,216.91 / $1,698.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $16,547.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,507.56 / $7,507.56 / $8,538.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.94 / $1,089.18 / $1,483.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.75 / $1,569.20 / $1,961.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.42 / $1,093.95 / $1,524.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.72 / $1,260.33 / $1,902.52
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
$742.56 / $1,031.33 / $1,485.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.04 / $951.26 / $1,320.89