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Texas rates for HCPCS D0367

Cone Beam Ct Capture & Interp Fd View Both Jaws

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.14 / $126.14 / $135.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.83 / $152.22 / $224.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.69 / $1,093.11 / $1,093.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.82 / $1,066.36 / $1,723.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.66 / $187.22 / $358.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.48 / $190.48 / $190.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.90 / $355.90 / $355.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.66 / $182.93 / $358.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.12 / $2,250,000.00 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $405.00