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Texas rates for HCPCS 54650

Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $3,570.00 / $12,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.43 / $765.34 / $1,107.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,705.13 / $4,819.47 / $9,265.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.91 / $820.11 / $1,142.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.29 / $636.29 / $636.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,418.96 / $2,418.96 / $2,418.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.71 / $958.07 / $1,484.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $9,558.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,202.96 / $5,320.08 / $5,947.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.59 / $916.96 / $1,571.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.82 / $1,062.55 / $1,250.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.00 / $1,035.00 / $1,035.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.59 / $928.76 / $1,806.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.71 / $971.00 / $1,608.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.30 / $815.80 / $1,260.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.72 / $677.79 / $937.76