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Texas rates for HCPCS G0186

Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.75 / $2,244.00 / $7,513.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.51 / $494.05 / $619.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.56 / $362.56 / $374.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.82 / $540.82 / $540.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.99 / $3,481.61 / $3,608.53
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,046.97 / $4,046.97 / $5,564.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.01 / $610.66 / $881.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.50 / $2,042.00 / $4,336.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.49 / $610.66 / $881.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.82 / $540.82 / $540.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.00 / $1,529.00 / $3,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.36 / $608.21 / $1,036.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.01 / $678.59 / $750.00