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Texas rates for HCPCS 25240

Excision distal ulna partial or complete (eg, Darrach type or matched resection)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.00 / $3,570.00 / $12,281.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,764.82 / $4,681.04 / $9,258.31
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.00 / $3,129.04 / $8,100.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $399.13 / $402.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.34 / $497.34 / $497.34
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$49.32 / $49.32 / $49.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.08 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$100.65 / $849.00 / $849.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.65 / $567.99 / $886.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.14 / $572.26 / $917.94
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$49.32 / $49.32 / $140.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00