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Texas rates for HCPCS 39501

Repair, laceration of diaphragm, any approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,715.35 / $12,882.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,513.56 / $7,079.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $12,589.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $4,073.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,071.52 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,454.71 / $10,232.93