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Texas rates for HCPCS 22804

Arthrodesis Posterior Spinal Dfrm 13+ Vrt Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.00 / $3,766.00 / $13,401.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,418.51 / $4,073.28 / $10,497.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $2,165.96 / $2,248.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,767.50 / $2,767.50 / $2,767.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $38,331.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,351.13 / $3,093.94 / $4,920.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,351.13 / $3,093.94 / $4,994.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $9,453.00 / $20,955.00