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Texas rates for HCPCS 28264

Capsulotomy, midtarsal (eg, Heyman type procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.20 / $2,128.00 / $7,513.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.44 / $2,236.39 / $4,838.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $638.83 / $648.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,171.45 / $11,500.00 / $12,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.90 / $962.91 / $1,573.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.90 / $967.96 / $1,648.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00