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Texas rates for HCPCS 38115

Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,570.00 / $10,893.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.48 / $1,174.48 / $1,222.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,024.00 / $4,619.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $11,611.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,124.16 / $1,410.41 / $2,619.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.25 / $1,425.16 / $2,824.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00