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Texas rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.00 / $3,188.00 / $10,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.12 / $256.08 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,096.38 / $3,922.02 / $7,537.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.73 / $278.33 / $405.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.88 / $220.88 / $220.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.30 / $2,403.30 / $2,403.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.73 / $348.92 / $535.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $9,496.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,806.88 / $2,806.88 / $2,806.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.63 / $331.79 / $674.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.42 / $377.11 / $443.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.70 / $371.70 / $371.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.63 / $332.98 / $674.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.73 / $359.88 / $558.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.24 / $283.27 / $444.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.36 / $239.70 / $332.07