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Texas rates for HCPCS 24115

Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $3,630.78 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $9,332.54 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $870.96 / $1,148.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $676.08 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $1,548.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,370.32 / $6,456.54 / $6,456.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $95.50 / $630.96
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,380.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,621.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $5,248.07 / $11,220.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,202.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $724.44 / $724.44