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Texas rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.43 / $144.50 / $147.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.10 / $144.50 / $186.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $161.63 / $161.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.38 / $788.47 / $788.47
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.55 / $1,105.55 / $1,277.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.69 / $152.52 / $213.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.65 / $199.32 / $275.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.52 / $151.65 / $213.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $145.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.40 / $192.45 / $284.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.85 / $150.85 / $208.12