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Texas rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $3,682.00 / $10,836.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$719.25 / $5,755.42 / $5,755.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,647.54 / $2,799.05 / $5,598.10
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $887.89 / $5,069.04
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.57 / $1,669.55 / $1,669.55
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 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.02 / $422.55 / $728.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.02 / $422.55 / $846.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00