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Texas rates for RC 0255

Pharmacy - Drugs Incident to Radiology

Insurance Carrier
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $114.74 / $114.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $43.05 / $324.80
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$378.16 / $602.38 / $2,014.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,000.00 / $4,000.00 / $4,000.00