go back

Texas rates for HCPCS 21742

Repair Pectus Excavatm/Carinatm Minly W/O Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $3,774.00 / $13,401.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.23 / $1,201.54 / $1,876.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,645.23 / $4,516.79 / $8,403.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$974.56 / $974.56 / $1,146.54
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,364.20 / $1,364.20 / $1,364.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.55 / $1,590.02 / $2,443.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $15,034.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,587.96 / $9,587.96 / $10,295.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.48 / $1,268.40 / $2,041.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.86 / $1,138.51 / $9,074.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.80 / $1,308.27 / $2,082.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.67 / $1,603.79 / $2,469.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.43 / $1,155.45 / $1,883.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.86 / $1,189.33 / $1,504.62