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Texas rates for RC 0490

Ambulatory Surgical Care

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.86 / $1,541.86 / $1,846.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $18.00 / $45.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $1,200.00 / $5,725.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,336.00 / $9,256.00 / $21,815.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.02 / $1,453.03 / $3,419.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $1,200.00 / $5,725.00