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Texas rates for HCPCS 76885

Us Inft Hips R-T Img Dynamic Req Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.82 / $392.44 / $784.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.70 / $98.65 / $253.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.99 / $173.19 / $340.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.64 / $84.49 / $119.46
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.55 / $162.88 / $397.61
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $144.88 / $236.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.66 / $124.15 / $126.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.97 / $345.34 / $549.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.44 / $141.08 / $267.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.00 / $669.70 / $669.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.76 / $740.76 / $1,055.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.62 / $138.24 / $234.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $169.47 / $290.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.45 / $176.07 / $324.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.83 / $140.44 / $316.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.89 / $144.97 / $300.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.65 / $123.78 / $185.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.86 / $146.16 / $221.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.08 / $116.53 / $165.56