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Texas rates for HCPCS 77076

Radiologic examination, osseous survey, infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $416.87 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $100.00 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $309.03 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $81.28 / $120.23
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $186.21 / $436.52
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $125.89 / $186.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $269.15 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $109.65 / $204.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $891.25 / $891.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $125.89 / $234.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $112.20 / $223.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $75.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $218.78 / $288.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $125.89 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $109.65 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $165.96 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $100.00 / $162.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $104.71 / $125.89