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Texas rates for HCPCS 15570

Formation of direct or tubed pedicle, with or without transfer; trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.00 / $3,162.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,505.69 / $2,596.38 / $5,501.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.53 / $655.53 / $951.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,654.13 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.70 / $894.82 / $1,294.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.70 / $893.86 / $1,308.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,064.00 / $4,554.00