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Texas rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.00 / $2,500.00 / $7,495.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.90 / $703.67 / $1,077.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.02 / $230.02 / $230.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.81 / $701.99 / $2,577.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.11 / $641.70 / $1,026.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.71 / $410.71 / $707.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.39 / $532.39 / $549.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.79 / $717.28 / $1,103.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $3,362.46
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,576.24 / $4,969.60 / $5,699.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.04 / $694.47 / $1,067.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$521.97 / $778.20 / $1,127.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.43 / $657.84 / $796.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.04 / $696.47 / $1,104.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.37 / $747.17 / $1,189.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,054.00 / $4,509.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.23 / $719.63 / $1,068.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.22 / $638.54 / $900.15