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Texas rates for HCPCS 67113

Rpr Complex Retina Detach Vitrect &Membrane Peel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.00 / $3,896.00 / $12,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.79 / $1,493.05 / $2,098.92
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.66 / $1,307.68 / $1,850.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,360.13 / $6,032.96 / $12,457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.23 / $1,476.15 / $2,070.51
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,811.09 / $5,069.04 / $10,579.28
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.42 / $1,727.12 / $2,400.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,088.33 / $4,877.41 / $4,877.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.58 / $3,235.58 / $3,341.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.57 / $1,716.67 / $2,849.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,897.00 / $14,907.95
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$304.29 / $1,413.06 / $1,413.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,366.67 / $11,366.67 / $11,366.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.13 / $1,690.16 / $2,742.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.28 / $1,905.38 / $3,240.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,499.00 / $3,419.00 / $15,296.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.52 / $1,450.49 / $2,542.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.98 / $1,741.87 / $2,983.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.13 / $1,777.63 / $2,814.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,958.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.79 / $1,502.59 / $2,288.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.11 / $1,233.66 / $1,721.82