go back

Texas rates for RC 0400

Other Imaging Services-General Classification

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.62 / $468.62 / $468.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $18.00 / $45.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,086.00 / $1,133.00 / $1,133.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.56 / $103.39 / $148.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.00 / $1,133.00 / $1,133.00