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Texas rates for HCPCS G0458

Ldr prostate brachy comp rat

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $32.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $85.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $85.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.50 / $233.50 / $315.23