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Texas rates for HCPCS 75984

Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.97 / $31.15 / $48.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.81 / $86.17 / $132.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.10 / $67.22 / $87.41
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.16 / $139.00 / $139.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.40 / $43.40 / $43.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $104.61 / $194.58
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.32 / $182.21 / $182.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.00 / $767.00 / $787.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.96 / $130.72 / $202.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.51 / $97.59 / $254.20
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.40 / $43.40 / $43.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.95 / $112.38 / $241.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.82 / $101.23 / $143.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.13 / $91.52 / $124.25