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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
$575.44 / $2,754.23 / $7,413.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $181.97 / $426.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $162.18 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $1,202.26 / $2,187.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $28,840.32 / $28,840.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $288.40 / $707.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $263.03 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,047.13 / $2,691.53