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Texas rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $2,454.71 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $75.86 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $48.98 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $75.86 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $70.79 / $112.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $52.48 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $63.10 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $181.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $1,380.38
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $630.96 / $630.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $89.13 / $218.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $75.86 / $128.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $61.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $158.49 / $204.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $87.10 / $151.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $93.33 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $2,511.89 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $75.86 / $120.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $74.13 / $83.18