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Texas rates for HCPCS 15822

Blepharoplasty Upper Eyelid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.70 / $3,004.00 / $10,546.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,238.00 / $2,061.00 / $3,168.00
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$3,570.00 / $3,570.00 / $3,570.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,501.21 / $2,580.16 / $5,489.51
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.43 / $1,569.74 / $8,100.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.53 / $2,035.90 / $2,035.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,730.72 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.58 / $460.61 / $650.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.61 / $460.58 / $686.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,064.00 / $4,554.00