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Texas rates for HCPCS 11772

Excision of pilonidal cyst or sinus; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.00 / $3,060.00 / $10,035.06
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
$629.41 / $2,288.00 / $6,180.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.92 / $2,759.08 / $2,759.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,973.56 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.51 / $728.48 / $1,034.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.51 / $721.61 / $1,059.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,239.00 / $7,600.00