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Texas rates for RC 0790

Lithotripsy - General Classification

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,972.74 / $5,019.68 / $5,601.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $18.00 / $45.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,650.00 / $9,867.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,738.00 / $10,000.00 / $10,460.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,330.00 / $6,276.00 / $15,626.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,701.27 / $2,604.00 / $15,859.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,100.00 / $7,911.00