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Texas rates for HCPCS A4550

Surgical Trays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $16.60 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.14 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,548.13 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.61
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $24.55
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $30.20 / $165.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $22.91 / $37.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.14 / $19.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $3,388.44 / $3,981.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $30.20 / $30.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $23.99 / $38.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.59 / $22.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $19.50