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Texas rates for HCPCS 49013

Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.00 / $3,596.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.03 / $732.90 / $2,432.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.77 / $401.77 / $401.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $3,549.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.06 / $496.46 / $1,046.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.06 / $502.39 / $1,215.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00