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Texas rates for HCPCS 54164

Frenulotomy Penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.00 / $2,630.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,644.81 / $2,782.82 / $5,438.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.95 / $180.95 / $180.95
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
$185.79 / $240.20 / $427.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.79 / $240.87 / $490.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,293.00 / $7,600.00