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Texas rates for HCPCS 54057

Dstrj Lesion Penis Simple Laser

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.71 / $2,071.00 / $6,691.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,501.28 / $2,563.92 / $4,981.81
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.88 / $88.88 / $88.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.30 / $1,408.30 / $1,408.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$495.00 / $12,000.00 / $12,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.75 / $153.40 / $293.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.75 / $155.05 / $305.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $2,064.00 / $4,509.00