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Texas rates for HCPCS A0428

Bls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.01 / $273.01 / $273.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.01 / $238.61 / $257.10
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
$451.00 / $499.27 / $531.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.40 / $279.25 / $538.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.89 / $232.89 / $279.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $205.00 / $400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $220.00 / $425.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.22 / $1,535.20 / $1,535.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.01 / $257.10 / $362.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.00 / $560.00 / $560.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.17 / $494.17 / $494.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.01 / $220.00 / $362.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $220.00 / $425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.47 / $236.62 / $335.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.44 / $272.44 / $272.44