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Texas rates for HCPCS 57120

Colpocleisis Le Fort Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $3,682.00 / $12,281.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,673.52 / $6,706.32 / $13,711.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.47 / $4,028.72 / $4,028.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,194.69 / $3,194.69 / $3,194.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $12,623.50
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$120.63 / $1,196.53 / $1,196.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.47 / $671.13 / $1,138.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.47 / $676.45 / $1,341.13
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$203.51 / $203.51 / $203.51
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$172.99 / $172.99 / $172.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,345.00 / $10,600.00