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Texas rates for HCPCS 75954

Evasc Rpr Iliac Art W/Ilio-Iliac Prosth Rs&I

Insurance Carrier
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,513.56 / $1,513.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $194.98 / $1,513.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $190.55 / $1,513.56