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Texas rates for HCPCS 88323

Consltj&Reprt Referred Matrl Requiring Prepj Sld

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.15 / $85.68 / $174.16
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.04 / $69.17 / $135.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.11 / $21.35 / $77.93
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $113.46 / $191.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.00 / $120.50 / $160.35
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.73 / $125.50 / $180.00
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.23 / $81.28 / $83.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.36 / $76.27 / $216.50
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.92 / $53.30 / $152.31
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.28 / $27.95 / $65.67
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$209.02 / $429.02 / $429.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.14 / $745.14 / $943.13
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$538.00 / $538.00 / $687.38
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$340.13 / $340.13 / $340.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.46 / $168.86 / $251.26
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.31 / $133.52 / $191.11
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.39 / $43.67 / $60.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.65 / $93.08 / $200.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.97 / $108.69 / $281.08
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.99 / $53.30 / $157.00
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.20 / $27.95 / $72.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.59 / $84.43 / $256.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.57 / $54.86 / $181.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.02 / $30.50 / $64.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.88 / $59.73 / $113.02
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.47 / $44.43 / $83.99
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.42 / $22.33 / $29.02