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Texas rates for HCPCS 39540

Repair, diaphragmatic hernia (other than neonatal), traumatic; acute

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.53 / $3,596.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.86 / $1,462.19 / $4,275.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$799.21 / $799.21 / $799.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $7,751.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.93 / $1,088.68 / $2,216.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.93 / $1,088.68 / $2,216.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00