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Texas rates for HCPCS 23395

Muscle transfer, any type, shoulder or upper arm; single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $3,580.00 / $12,729.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,045.78 / $9,152.37 / $18,723.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,148.43 / $1,171.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,454.27 / $1,454.27 / $1,454.27
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$144.51 / $144.51 / $144.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,206.24 / $25,530.00 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$291.42 / $2,419.88 / $2,419.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.64 / $1,594.13 / $2,430.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.78 / $1,599.08 / $2,579.50
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$486.94 / $486.94 / $486.94
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$144.51 / $144.51 / $413.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00