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Texas rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,611.29 / $10,893.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,115.42 / $2,363.54 / $3,501.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.91 / $2,603.69 / $3,689.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,081.14 / $2,081.14 / $2,170.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,277.00 / $4,619.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.13 / $3,003.35 / $4,708.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $20,701.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,210.16 / $16,589.28 / $19,860.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,165.40 / $2,655.05 / $4,681.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,581.19 / $3,434.12 / $4,040.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.20 / $4,302.45 / $8,421.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,165.40 / $2,666.61 / $5,259.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,210.27 / $3,208.19 / $5,733.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.60 / $2,544.81 / $3,984.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,915.63 / $2,225.19 / $3,000.40