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Texas rates for HCPCS 25685

Open Tx Trans-Scaphoperilunar Fracture Dislc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.00 / $3,224.00 / $11,453.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.89 / $748.90 / $1,184.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.32 / $235.32 / $707.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,042.01 / $8,793.46 / $15,732.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.35 / $839.89 / $1,178.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $673.03 / $684.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.32 / $840.32 / $840.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.59 / $980.33 / $1,508.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,775.88 / $19,913.50 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,359.28 / $5,464.88 / $6,388.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.51 / $920.05 / $1,391.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.39 / $1,096.07 / $1,359.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.66 / $1,215.25 / $2,667.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.51 / $924.53 / $1,474.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.39 / $1,016.55 / $1,535.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.37 / $792.85 / $1,235.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.64 / $707.73 / $983.37