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Texas rates for HCPCS D9951

Occlusal Adjustment - Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.77 / $34.77 / $37.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $37.68 / $42.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.16 / $885.11 / $885.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.32 / $283.32 / $360.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.51 / $52.16 / $83.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $40.14 / $40.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.68 / $52.18 / $83.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.14 / $59.38 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.00 / $94.00 / $197.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $61.00 / $82.35