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Texas rates for HCPCS D9952

Occlusal Adjustment - Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.59 / $131.59 / $142.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.17 / $142.51 / $173.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.32 / $978.66 / $978.66
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.08 / $1,307.34 / $1,343.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.57 / $243.99 / $392.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.72 / $139.72 / $139.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.51 / $244.39 / $392.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.72 / $280.73 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.00 / $389.00 / $788.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.00 / $308.00 / $415.80