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Texas rates for HCPCS 21230

Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,792.00 / $12,941.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,122.95 / $7,572.03 / $14,745.61
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $645.09 / $654.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.35 / $845.35 / $845.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,848.83 / $16,547.20 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.37 / $946.44 / $1,618.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.03 / $948.18 / $1,669.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00