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Texas rates for HCPCS 25920

Disarticulation through wrist;

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
$630.96 / $758.58 / $1,174.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,258.93 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,122.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $676.08 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,479.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $4,570.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $6,309.57 / $6,309.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $933.25 / $2,951.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $912.01 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $676.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $1,348.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $912.01 / $1,513.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $8,128.31 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $1,148.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44