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Texas rates for HCPCS 42975

Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.52 / $2,496.00 / $7,495.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.92 / $114.96 / $163.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.99 / $117.83 / $139.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.29 / $127.89 / $521.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.43 / $111.43 / $151.96
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.36 / $1,465.46 / $8,000.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.83 / $103.83 / $114.99
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.95 / $1,295.43 / $1,295.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.07 / $1,137.07 / $1,137.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.39 / $151.69 / $242.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $4,493.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.68 / $720.56 / $813.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.24 / $111.66 / $262.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.90 / $144.51 / $170.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.24 / $117.32 / $309.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.39 / $154.41 / $265.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.00 / $950.00 / $2,376.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.10 / $131.62 / $203.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.61 / $91.99 / $127.43