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Texas rates for HCPCS 20696

Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $3,213.00 / $11,453.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,683.87 / $24,238.04 / $48,316.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,037.34 / $1,054.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,319.93 / $1,319.93 / $1,319.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $84,256.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.66 / $1,329.86 / $2,239.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.56 / $1,360.34 / $2,317.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00