Lidocaine/dextrose [0.4/5%] 250ml Sol at Muleshoe Area Medical Center dba Muleshoe Area Medical Center

Muleshoe, TX

Pricing by billing methodology

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Payers reporting CPT 26495 at Muleshoe Area Medical Center dba Muleshoe Area Medical Center

Negotiated rates from the hospital’s own file: 4 payers, 8 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
2	Superior Healthplan hmo fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
3	Superior Healthplan ppo fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
4	Bcbs Tx blue essentials percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
5	Bcbs Tx commercial percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
6	Bcbs Tx hmo percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
7	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
8	Superior Healthplan commercial percent of total billed charges · outpatientfrom % of charges	$75	$75	—	—	—	$75 – $75

Last updated: Dec 16, 2025

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