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Texas rates for HCPCS 31040

Pterygomaxillary Fossa Surgery Any Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.00 / $3,596.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,729.84 / $3,279.96 / $9,727.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.82 / $702.82 / $702.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,187.68 / $4,187.68 / $4,187.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $16,547.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.45 / $1,014.96 / $2,242.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.45 / $1,015.38 / $2,317.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00