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Texas rates for HCPCS 22855

Removal of anterior instrumentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,014.39 / $3,774.00 / $13,004.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.94 / $1,879.36 / $7,946.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,021.08 / $1,058.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,262.82 / $1,262.82 / $1,262.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$125.34 / $125.34 / $125.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,000.00 / $17,610.04
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$243.02 / $511.52 / $544.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.49 / $1,384.06 / $2,454.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.49 / $1,392.05 / $2,454.73
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$125.34 / $125.34 / $359.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $7,123.00 / $16,000.00