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Texas rates for HCPCS D0170

Re-Evaluation - Limited, Problem Focused (Established Patient; Not Post-Operative Visit)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $18.84 / $18.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.46 / $19.45 / $22.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.28 / $22.28 / $22.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.37 / $217.62 / $217.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.45 / $193.44 / $193.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.47 / $22.18 / $37.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $20.88 / $20.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $28.20 / $31.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.47 / $22.42 / $37.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.51 / $2,250,000.00 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $41.00 / $57.40