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Texas rates for HCPCS 53215

Urethrectomy Tot W/Cystost Male

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,682.00 / $12,040.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,258.35 / $6,474.38 / $12,610.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.32 / $819.32 / $819.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,619.61 / $3,619.61 / $3,619.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.39 / $1,215.33 / $2,051.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.39 / $1,227.17 / $2,345.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,347.00 / $7,731.85