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Texas rates for HCPCS 65820

Goniotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $2,131.00 / $7,513.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$629.45 / $677.54 / $910.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.71 / $878.09 / $1,325.17
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$95.44 / $135.51 / $199.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.39 / $800.61 / $1,137.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,863.75 / $5,651.13 / $11,378.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.28 / $910.00 / $1,295.93
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.89 / $1,349.91 / $2,378.26
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.77 / $926.87 / $1,329.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.14 / $3,407.94 / $3,407.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,578.19 / $2,578.19 / $2,662.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.58 / $984.90 / $1,389.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $12,000.00 / $12,000.00
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,318.88 / $7,881.75 / $7,881.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,899.52 / $6,128.88 / $6,737.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.70 / $935.69 / $1,335.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.39 / $1,021.83 / $1,414.84
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.07 / $2,499.00 / $6,094.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.34 / $783.03 / $886.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.39 / $944.83 / $1,516.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.39 / $997.65 / $1,516.79
Providence
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$306.38 / $306.38 / $313.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $3,264.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.96 / $792.37 / $1,149.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.84 / $758.39 / $1,066.19