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Texas rates for HCPCS A2004

Misc W/Motor Score 12-32

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $12.79 / $7,982.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.79 / $13.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $12.12 / $31.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $7.58 / $7.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $552.50 / $552.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.41 / $1,391.41 / $1,391.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.73 / $15.60 / $27.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $11.92 / $28.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.78 / $15.60 / $27.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $13.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $12.78 / $17.25