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Texas rates for HCPCS 43255

Egd Transoral Control Bleeding Any Method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.76 / $2,474.00 / $6,837.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$96.68 / $154.65 / $448.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.35 / $334.64 / $869.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.58 / $195.44 / $261.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.20 / $2,367.25 / $4,718.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.68 / $496.79 / $804.71
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.00 / $1,598.68 / $3,020.71
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.82 / $274.35 / $483.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.17 / $1,312.55 / $1,312.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.02 / $1,240.44 / $2,213.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$269.18 / $269.18 / $269.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.49 / $448.43 / $980.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,351.50 / $11,500.00 / $16,394.00
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$718.14 / $777.78 / $777.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,271.42 / $4,354.72 / $5,096.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.29 / $407.69 / $879.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.35 / $446.95 / $1,056.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.82 / $549.70 / $1,244.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.29 / $438.18 / $961.22
Providence
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$269.18 / $269.18 / $269.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.59 / $492.49 / $1,252.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$720.00 / $2,272.00 / $4,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.39 / $640.13 / $1,061.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.06 / $586.11 / $796.35