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Texas rates for HCPCS 87631

Iadna Respiratry Probe & Rev Trnscr 3-5 Targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.83 / $322.43 / $608.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $99.84 / $194.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.92 / $71.31 / $142.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.38 / $432.39 / $747.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $78.45 / $199.68
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.37 / $221.08 / $719.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.10 / $171.16 / $246.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.19 / $141.19 / $142.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.94 / $327.64 / $647.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.36 / $99.84 / $264.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.21 / $677.49 / $677.49
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.15 / $713.15 / $1,069.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.84 / $152.97 / $318.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.80 / $142.63 / $213.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.71 / $178.29 / $320.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.95 / $177.44 / $603.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $142.63 / $256.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.90 / $74.06 / $105.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.35 / $73.88 / $142.63