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Texas rates for HCPCS 92012

Oph Svcs Medical Xm&Eval Intermediate Est Pt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.75 / $121.30 / $158.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.36 / $70.84 / $107.45
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$68.34 / $93.51 / $116.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.53 / $82.32 / $122.96
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$82.32 / $87.26 / $105.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.04 / $354.75 / $427.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.89 / $67.75 / $110.38
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.56 / $85.52 / $127.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.03 / $91.18 / $108.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.40 / $77.67 / $130.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.03 / $247.71 / $247.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.91 / $563.47 / $727.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.34 / $68.25 / $107.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.15 / $93.85 / $136.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.49 / $85.94 / $164.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.84 / $67.76 / $107.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.87 / $82.32 / $140.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.77 / $77.33 / $111.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $71.37 / $86.37