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Texas rates for HCPCS 99284

Emergency Department Visit Moderate Mdm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.45 / $396.17 / $3,901.00
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$624.00 / $978.37 / $3,843.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.65 / $120.65 / $208.72
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$99.38 / $280.42 / $546.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.81 / $212.77 / $373.15
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$111.54 / $291.14 / $373.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.60 / $87.60 / $2,140.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.22 / $112.59 / $171.07
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.33 / $291.23 / $536.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.49 / $155.33 / $401.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.92 / $251.92 / $251.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.00 / $1,479.00 / $4,184.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.65 / $147.47 / $265.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.72 / $544.99 / $573.99
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.58 / $748.12 / $748.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.53 / $141.94 / $353.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $209.61 / $892.50
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.00 / $458.00 / $458.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.33 / $145.59 / $229.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.53 / $141.94 / $353.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.42 / $154.63 / $289.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.77 / $126.18 / $233.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.39 / $116.47 / $160.72