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Texas rates for HCPCS 31614

Tracheostoma revision; complex, with flap rotation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$726.78 / $2,673.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,880.42 / $7,130.28 / $14,968.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.08 / $625.08 / $625.08
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
$11,500.00 / $16,394.00 / $16,547.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.94 / $876.53 / $1,609.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$693.94 / $900.47 / $1,736.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $6,000.00 / $13,134.00