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Texas rates for HCPCS 76499

Unlisted diagnostic radiographic procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.25 / $267.14 / $596.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $144.00 / $144.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.81 / $196.92 / $337.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.68 / $84.68 / $154.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.73 / $226.73 / $380.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $500.00 / $700.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.77 / $359.91 / $359.91
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.12 / $1,613.12 / $1,613.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.38 / $60.89 / $78.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.01 / $173.75 / $382.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $500.00 / $700.00