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Texas rates for HCPCS 11604

Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm

Facilitymedian $1,950 · 10th–90th $309$6,9180%5%10th90th$1,950Professionalmedian $288 · 10th–90th $186$5250%10%10th90th$288$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $2,818.38 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $288.40 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $158.49 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,023.29 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $281.84 / $457.09
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $758.58 / $1,584.89
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $295.12 / $478.63
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $562.34 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $331.13 / $512.86
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $28,840.32 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,630.27 / $2,630.27
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $363.08 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $309.03 / $575.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $251.19
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $281.84 / $446.68
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $338.84 / $524.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $1,479.11 / $3,548.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $263.03 / $389.05
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $316.23