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Texas rates for HCPCS 15842

Grf Facial Nrv Palyss Fr Muscle Flap Microsurg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.00 / $3,682.00 / $12,377.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.21 / $2,496.87 / $3,831.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,459.05 / $3,044.65 / $3,426.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.37 / $2,311.37 / $2,360.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,515.26 / $3,162.39 / $4,730.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,000.00 / $18,395.93
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,368.56 / $19,758.32 / $22,876.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.94 / $2,976.87 / $3,984.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,628.80 / $3,943.20 / $5,257.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,386.94 / $2,976.87 / $4,141.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,554.50 / $3,350.00 / $5,258.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.00 / $2,494.00 / $4,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,126.13 / $2,834.84 / $4,067.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,243.60 / $2,554.50 / $3,538.26