go back

Texas rates for HCPCS 29804

Arthroscopy, temporomandibular joint, surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.00 / $3,553.00 / $10,718.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,436.33 / $4,325.17 / $8,431.35
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $529.75 / $534.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.06 / $671.06 / $671.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,307.14 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.32 / $782.28 / $1,342.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.36 / $792.12 / $1,438.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00