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Texas rates for HCPCS 42890

Limited Pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,198.00 / $3,792.00 / $13,004.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,977.43 / $7,275.80 / $14,648.60
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.11 / $1,225.11 / $1,235.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,156.62 / $4,026.16 / $4,939.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $16,547.20 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.51 / $1,549.11 / $3,011.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,263.25 / $1,569.90 / $3,227.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.00 / $5,870.00 / $13,237.00