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Texas rates for HCPCS 11771

Excision of pilonidal cyst or sinus; extensive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.00 / $3,120.00 / $10,234.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.25 / $3,640.66 / $7,003.05
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.30 / $1,111.76 / $4,050.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.41 / $2,338.19 / $2,338.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,089.94 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.83 / $583.94 / $843.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.07 / $583.94 / $860.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.00 / $3,314.00 / $7,600.00