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Texas rates for HCPCS 40805

Rmvl Embedded Fb Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.44 / $2,496.00 / $7,495.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.43 / $278.58 / $401.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.29 / $304.87 / $1,203.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.93 / $265.06 / $462.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.72 / $179.72 / $179.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.56 / $259.56 / $259.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.18 / $339.96 / $602.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,388.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.00 / $2,089.60 / $2,410.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.50 / $327.58 / $588.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.24 / $363.74 / $489.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.70 / $312.70 / $312.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.50 / $331.15 / $663.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.11 / $350.41 / $626.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $949.00 / $2,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.49 / $367.68 / $558.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.80 / $269.27 / $379.32