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Texas rates for HCPCS 99205

Office/Outpatient New High Mdm 60 Minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.84 / $202.13 / $457.20
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$246.26 / $330.75 / $512.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.51 / $194.79 / $504.49
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$147.32 / $256.64 / $725.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.09 / $209.99 / $262.82
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$178.49 / $209.99 / $266.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.30 / $174.30 / $513.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.22 / $178.69 / $222.92
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.42 / $192.42 / $192.42
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.09 / $237.31 / $321.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.34 / $184.94 / $208.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $160.00 / $242.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.69 / $223.74 / $345.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.32 / $822.00 / $888.06
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.45 / $1,377.15 / $1,377.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.69 / $211.97 / $345.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.21 / $268.73 / $385.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.20 / $228.77 / $377.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.28 / $212.03 / $345.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.59 / $232.78 / $454.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.34 / $214.16 / $323.38
United
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$80.00 / $80.00 / $88.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.14 / $215.74 / $293.99