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Texas rates for HCPCS 58200

Tot Abd Hyst W/Paraortic & Pelvic Lymph Node Sam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.00 / $3,766.00 / $13,004.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.24 / $2,304.09 / $7,790.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.35 / $1,229.35 / $1,229.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $13,837.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.83 / $1,737.85 / $3,033.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.83 / $1,738.01 / $3,105.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00