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Texas rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.46 / $4,149.00 / $11,210.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.66 / $706.92 / $1,115.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,156.99 / $7,492.25 / $14,501.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.29 / $753.49 / $1,049.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.03 / $583.03 / $583.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,105.82 / $4,105.82 / $4,105.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.94 / $890.38 / $1,379.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,131.00 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,850.93 / $4,888.96 / $5,463.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.08 / $858.77 / $1,453.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.66 / $976.45 / $1,148.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.85 / $765.85 / $982.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.08 / $861.80 / $1,659.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.94 / $915.30 / $1,522.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,608.00 / $7,400.00 / $16,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.62 / $754.01 / $1,211.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.67 / $623.41 / $861.58