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Texas rates for HCPCS 58263

Vag Hyst 250 Gm/< W/Rmvl Tube Ovary W/Rpr Ntrcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,682.00 / $12,040.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,673.52 / $6,620.89 / $12,942.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.10 / $861.10 / $861.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $10,899.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.17 / $1,295.55 / $2,143.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.17 / $1,319.64 / $2,336.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00