go back

Texas rates for HCPCS 39501

Repair Laceration Diaphragm Any Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$844.68 / $3,596.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.79 / $1,430.26 / $7,423.14
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.54 / $2,198.94 / $8,000.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.11 / $790.11 / $790.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $12,468.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.98 / $1,081.58 / $1,883.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.98 / $1,092.33 / $2,070.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00