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Texas rates for HCPCS 44604

Sutr Lg Intestine 1/Mult Perforat W/O Colostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,570.00 / $10,893.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.34 / $1,759.75 / $7,282.48
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.27 / $953.27 / $988.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,024.00 / $4,619.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$117.55 / $117.55 / $117.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $9,482.71
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$233.08 / $479.42 / $506.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.83 / $1,251.86 / $2,159.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.20 / $1,254.58 / $2,401.67
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$402.40 / $402.40 / $402.40
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$117.55 / $342.04 / $342.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00