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Texas rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $2,594.00 / $7,542.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.95 / $1,034.96 / $1,491.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,212.69 / $1,212.69 / $1,212.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,892.66 / $3,663.85 / $7,861.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.18 / $1,222.95 / $1,703.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.76 / $961.76 / $961.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,725.26 / $1,725.26 / $1,725.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.72 / $1,405.89 / $2,171.64
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $6,817.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,456.56 / $7,648.56 / $8,965.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.01 / $1,263.25 / $2,325.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.38 / $1,563.40 / $1,839.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.53 / $1,310.20 / $1,844.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$994.01 / $1,319.94 / $2,384.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.47 / $1,448.28 / $2,233.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $2,100.00 / $4,554.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.05 / $1,208.71 / $1,834.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.10 / $994.01 / $1,371.09