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Texas rates for HCPCS D4355

Full M Debrid Enbl Comp Or Eval & Dx Subq Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.20 / $51.16 / $51.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $52.38 / $68.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.10 / $90.10 / $90.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $73.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.38 / $885.11 / $885.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.45 / $367.45 / $479.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.12 / $69.36 / $106.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.97 / $52.97 / $52.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.70 / $72.70 / $72.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.12 / $69.36 / $106.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.36 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $55.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $110.60