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Texas rates for HCPCS 57410

Pelvic Examination W/Anesthesia Other Than Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.00 / $2,787.84 / $7,096.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,023.00 / $3,822.09 / $7,494.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.53 / $94.53 / $94.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.30 / $2,403.30 / $2,403.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,496.40 / $16,394.00 / $16,394.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.06 / $144.05 / $254.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.06 / $144.91 / $276.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,347.00 / $7,600.00