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Texas rates for HCPCS 54163

Repair incomplete circumcision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.00 / $2,630.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,629.83 / $2,799.05 / $5,438.66
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $2,554.04 / $6,050.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.40 / $202.40 / $202.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.85 / $1,377.85 / $1,377.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,444.45 / $16,394.00 / $16,394.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.34 / $270.93 / $482.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.34 / $272.14 / $556.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00