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Texas rates for HCPCS 40842

Vestibuloplasty; posterior, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.76 / $851.10 / $1,127.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.16 / $894.28 / $1,389.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.66 / $994.97 / $1,550.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,475.43 / $5,985.68 / $6,982.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.13 / $1,048.32 / $1,451.52
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.70 / $821.70 / $821.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.12 / $1,037.28 / $1,737.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.59 / $945.55 / $1,607.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.24 / $777.86 / $1,090.48