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Texas rates for HCPCS 57160

Fitting and insertion of pessary or other intravaginal support device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $3,548.13 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $72.44 / $154.88
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$21.88 / $21.88 / $21.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $69.18 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $138.04 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $67.61 / $100.00
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $158.49 / $269.15
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $43.65 / $87.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $72.44 / $72.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $81.28 / $138.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $1,288.25
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
$44.67 / $87.10 / $2,511.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $74.13 / $141.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $54.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $154.88 / $194.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $77.62 / $141.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $83.18 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $1,047.13 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $67.61 / $112.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $72.44 / $72.44