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Texas rates for HCPCS 66175

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.00 / $3,682.00 / $12,729.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,380.77 / $5,956.59 / $11,722.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.36 / $606.36 / $633.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,236.35 / $5,236.35 / $5,407.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $24,126.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.85 / $929.61 / $1,724.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.60 / $929.82 / $2,080.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,931.00 / $13,134.00