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Texas rates for HCPCS 76380

Ct Limited/Localized Follow Up Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.60 / $46.99 / $60.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.44 / $145.97 / $275.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.59 / $48.23 / $86.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.61 / $96.83 / $171.90
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.28 / $56.63 / $83.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.07 / $96.45 / $152.47
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.51 / $197.41 / $246.76
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.24 / $42.24 / $46.05
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.84 / $51.84 / $51.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.72 / $186.37 / $321.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.67 / $52.82 / $94.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.91 / $121.68 / $226.36
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$327.27 / $411.36 / $422.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.22 / $1,055.73 / $1,108.95
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$287.12 / $287.12 / $360.98
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$780.77 / $803.30 / $803.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.38 / $204.54 / $312.18
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.34 / $71.51 / $173.36
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.01 / $140.88 / $209.40
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.67 / $158.05 / $328.54
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.84 / $51.84 / $51.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.39 / $208.39 / $368.38
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.50 / $49.41 / $92.81
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.91 / $120.24 / $224.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.85 / $170.82 / $280.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.61 / $49.44 / $84.92
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.43 / $113.42 / $194.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.88 / $123.38 / $174.84
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.99 / $42.69 / $58.81
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.88 / $85.19 / $1,100.00