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Texas rates for HCPCS 58240

Pel Exntj Gynecologic Mal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,682.00 / $10,893.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,571.07 / $2,939.88 / $4,319.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,695.71 / $3,412.12 / $4,753.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.75 / $2,620.75 / $2,620.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.95 / $3,896.00 / $5,959.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $30,019.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,127.92 / $21,615.68 / $24,805.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,721.33 / $3,418.61 / $6,480.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,145.37 / $4,374.93 / $5,146.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,350.80 / $3,350.80 / $3,350.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,748.91 / $3,533.00 / $6,633.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.95 / $4,028.95 / $6,145.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,292.63 / $3,175.90 / $5,002.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,440.44 / $2,786.91 / $3,847.73