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Texas rates for HCPCS 11971

Removal Tissue Expander W/O Insertion Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.86 / $2,017.00 / $6,691.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,138.00 / $2,079.00 / $8,105.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.25 / $3,663.85 / $7,327.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.58 / $1,973.34 / $1,973.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,817.20 / $12,000.00 / $12,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.10 / $528.47 / $761.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.10 / $534.20 / $788.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.00 / $3,314.00 / $7,600.00