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Texas rates for HCPCS A0425

Ground mileage, per statute mile

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.29 / $5.70 / $921.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $5.29 / $5.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $16.79 / $18.00
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $8.36 / $13.53
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $8.30 / $13.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $66.42 / $66.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $6.55 / $12.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $6.55 / $8.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.75 / $195.75 / $195.75
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.03 / $13.60 / $93.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $15.35 / $26.10
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.05 / $556.05 / $565.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $6.55 / $11.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $6.55 / $8.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $7.16 / $10.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $8.76 / $8.76