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Texas rates for HCPCS 76642

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.28 / $306.24 / $776.51
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.68 / $26.92 / $43.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.21 / $86.09 / $305.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.59 / $31.83 / $122.26
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$111.06 / $479.25 / $652.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.94 / $50.56 / $104.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.73 / $67.01 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.68 / $31.52 / $60.15
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$82.77 / $98.55 / $246.39
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.40 / $42.83 / $64.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.43 / $186.36 / $336.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.46 / $60.30 / $86.18
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.68 / $162.88 / $379.54
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.34 / $98.54 / $153.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.07 / $78.53 / $80.69
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.54 / $32.24 / $33.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.99 / $205.29 / $358.61
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.03 / $37.03 / $37.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.01 / $90.02 / $164.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.22 / $35.11 / $66.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.60 / $54.66 / $101.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.03 / $539.87 / $539.87
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.50 / $158.97 / $158.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.22 / $546.22 / $707.78
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$203.94 / $203.94 / $262.50
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$342.28 / $342.28 / $445.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.69 / $97.63 / $317.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.22 / $115.02 / $230.30
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.81 / $50.21 / $96.37
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$85.20 / $135.00 / $589.95
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.56 / $76.17 / $203.12
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.50 / $236.05 / $621.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.64 / $57.70 / $123.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.01 / $94.60 / $220.68
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.03 / $37.03 / $37.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.05 / $91.78 / $191.66
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.58 / $33.85 / $61.69
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.60 / $52.86 / $95.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.90 / $123.78 / $185.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.31 / $93.60 / $140.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.72 / $36.39 / $54.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.93 / $56.76 / $82.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.12 / $78.83 / $111.52
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.78 / $30.85 / $43.19
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.34 / $47.99 / $68.98