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Texas rates for HCPCS 90957

Esrd Related Svc Monthly 12-19 Yr Old 4/> Visits

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.86 / $726.83 / $871.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.84 / $748.21 / $1,016.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.24 / $787.66 / $1,196.90
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.16 / $1,224.16 / $1,224.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.23 / $785.03 / $815.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.52 / $840.20 / $1,378.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.76 / $3,462.08 / $3,758.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,845.55 / $5,409.99 / $6,206.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.16 / $798.37 / $1,330.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.74 / $1,109.64 / $1,533.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.54 / $944.10 / $1,486.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.61 / $798.69 / $1,421.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.46 / $914.45 / $1,882.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.35 / $693.46 / $1,088.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.92 / $741.74 / $1,016.72