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Texas rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.00 / $2,236.00 / $7,513.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.62 / $657.72 / $998.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.04 / $559.04 / $559.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,844.25 / $3,234.98 / $6,207.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.29 / $676.38 / $948.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.20 / $511.20 / $533.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.86 / $1,494.86 / $1,543.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.35 / $740.39 / $1,085.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,887.55 / $12,000.00 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,346.72 / $4,503.84 / $4,949.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.11 / $710.16 / $1,027.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.04 / $751.87 / $1,041.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.00 / $698.00 / $698.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.29 / $723.70 / $1,141.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.49 / $761.42 / $1,131.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $3,217.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.15 / $601.49 / $881.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.61 / $559.04 / $784.31