go back

Texas rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,792.00 / $10,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,062.51 / $5,622.09 / $9,029.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,824.81 / $9,958.54 / $52,335.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,124.52 / $6,646.19 / $9,259.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,244.69 / $5,244.69 / $5,244.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,531.94 / $7,802.13 / $12,019.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $51,051.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40,052.16 / $41,111.36 / $48,947.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.87 / $7,009.63 / $13,278.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,094.34 / $8,476.67 / $9,972.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,151.40 / $3,151.40 / $3,151.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,419.87 / $7,045.83 / $13,591.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,945.40 / $8,067.67 / $12,826.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,934.52 / $6,700.88 / $10,893.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,728.49 / $5,419.87 / $7,399.62