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Texas rates for HCPCS 51940

Closure Exstrophy Bladder

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,596.00 / $10,836.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.83 / $1,724.95 / $2,387.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.37 / $1,876.31 / $2,614.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,434.45 / $1,434.45 / $1,434.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.58 / $2,206.00 / $3,399.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $13,006.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,536.30 / $15,376.51 / $15,883.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,581.57 / $2,110.12 / $3,630.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,741.70 / $2,422.54 / $2,850.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,422.19 / $2,422.19 / $2,422.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,581.57 / $2,142.06 / $3,881.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.58 / $2,240.94 / $3,441.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.52 / $1,799.60 / $2,908.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.35 / $1,549.50 / $2,136.79