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Texas rates for HCPCS 01634

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $50.12 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $501.19 / $660.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $39.81 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $616.60 / $891.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $4,786.30 / $4,786.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $2,398.83 / $4,897.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $602.56 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $630.96 / $1,230.27
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $25.70 / $54.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $2,570.40 / $5,888.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $616.60 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $54.95 / $85.11