go back

Texas rates for HCPCS 66174

Trluml Dilat Aqueous O/F Can Wo Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.00 / $3,682.00 / $12,281.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$565.55 / $615.16 / $717.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.12 / $875.54 / $1,371.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.05 / $580.05 / $919.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,249.68 / $5,765.68 / $11,157.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.50 / $588.07 / $964.45
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,928.08 / $3,874.51 / $6,197.40
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.36 / $692.71 / $986.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $4,926.04 / $4,926.04
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
$615.82 / $1,124.74 / $1,854.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $11,879.05
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,005.66 / $7,881.75 / $7,881.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,714.27 / $4,714.27 / $5,129.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.36 / $830.23 / $1,640.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.67 / $899.55 / $2,471.40
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.27 / $2,499.00 / $7,290.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.99 / $731.50 / $1,380.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.05 / $880.37 / $1,862.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.46 / $1,160.13 / $1,795.81
Providence
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$278.17 / $278.17 / $284.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,931.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.17 / $1,014.43 / $1,561.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.83 / $580.05 / $813.19