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Texas rates for HCPCS 74355

Percutaneous Placement Enteroclysis Tube Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.05 / $94.66 / $117.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.38 / $111.92 / $158.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.05 / $113.37 / $199.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.35 / $34.35 / $34.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.96 / $265.83 / $294.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.09 / $139.52 / $258.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.37 / $605.54 / $701.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.73 / $854.73 / $1,135.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.61 / $149.16 / $232.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.35 / $62.17 / $133.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.00 / $186.00 / $232.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.61 / $154.07 / $233.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.10 / $141.41 / $1,800,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.80 / $140.97 / $202.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.58 / $86.58 / $116.88