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Texas rates for HCPCS 21740

Reconstructive repair of pectus excavatum or carinatum; open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $3,715.35 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,096.48 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,819.70 / $6,165.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,000.00 / $1,548.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $977.24 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,412.54 / $2,290.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $16,218.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $10,000.00 / $11,481.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,445.44 / $4,265.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $1,778.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $128.82 / $870.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,905.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,380.38 / $2,290.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $8,317.64 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $1,737.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,047.13 / $1,047.13