go back

Texas rates for HCPCS 47701

Portoenterostomy (eg, Kasai procedure)

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
$1,585.44 / $1,804.42 / $2,830.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.25 / $2,020.47 / $2,814.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.32 / $1,582.32 / $1,643.36
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
$1,662.87 / $2,305.80 / $3,559.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $15,596.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,211.20 / $12,510.56 / $14,937.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.12 / $2,090.71 / $3,664.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,942.50 / $2,584.37 / $3,040.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,364.40 / $4,379.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,668.32 / $2,122.37 / $3,945.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.46 / $2,446.98 / $4,319.32
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
$1,397.89 / $1,917.11 / $2,992.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.62 / $1,675.11 / $2,259.75