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Texas rates for HCPCS 15958

Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.00 / $3,682.00 / $12,281.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.70 / $1,056.70 / $1,075.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,102.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.28 / $1,307.03 / $1,806.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.55 / $1,307.30 / $1,862.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00