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Texas rates for HCPCS G0288

Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $36.31 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $81.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,949.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $38.02 / $87.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $89.13 / $776.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $45.71 / $229.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $46.77 / $54.95