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Texas rates for RC 0402

Other Imaging Services-Ultrasound

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $500.00 / $1,571.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.34 / $195.93 / $403.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $112.53 / $112.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.00 / $773.00 / $1,029.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,054.38 / $2,054.38 / $2,054.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.18 / $52.02 / $285.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.00 / $835.00 / $1,133.00