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Texas rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.66 / $2,444.00 / $7,316.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.47 / $178.81 / $409.95
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.37 / $404.27 / $879.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.58 / $161.58 / $324.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.45 / $1,992.00 / $3,270.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.90 / $11,500.00 / $16,394.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.97 / $243.68 / $422.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.97 / $244.93 / $452.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.00 / $919.00 / $2,290.00