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Texas rates for HCPCS 45120

Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,570.00 / $10,893.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.76 / $1,641.00 / $2,428.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,567.67 / $2,671.38 / $8,427.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.64 / $1,861.51 / $2,593.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.18 / $1,462.18 / $1,517.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,024.00 / $4,619.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.12 / $2,116.00 / $3,262.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $14,419.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,046.47 / $12,046.47 / $13,806.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.94 / $1,900.09 / $3,435.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.58 / $2,388.90 / $2,810.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,864.60 / $3,019.92 / $5,866.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.07 / $1,918.59 / $3,618.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.21 / $2,220.21 / $3,984.83
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
$1,285.92 / $1,745.99 / $2,746.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.58 / $1,548.48 / $2,089.06