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Texas rates for HCPCS 24920

Amputation, arm through humerus; open, circular (guillotine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $776.25 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $851.14 / $1,148.15
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,513.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $5,888.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $6,309.57 / $6,309.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $954.99 / $2,884.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,230.27
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
$1,000.00 / $1,000.00 / $1,380.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,548.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $8,317.64 / $17,782.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,174.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $707.95 / $707.95