go back

Texas rates for HCPCS 25107

Arthrotomy Dstl Radioulnar Joint Rpr Cartilage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$767.00 / $3,224.00 / $11,453.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,463.69 / $4,325.17 / $8,431.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $571.28 / $576.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.47 / $713.47 / $713.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,351.64 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.47 / $776.63 / $1,182.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.61 / $779.31 / $1,255.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,425.00 / $10,600.00