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Texas rates for HCPCS 57230

Plastic Repair Urethrocele

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.00 / $3,213.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,223.31 / $3,947.00 / $7,537.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.35 / $364.35 / $364.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.30 / $2,403.30 / $2,403.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,496.40 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $514.74 / $866.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $523.58 / $1,009.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,314.00 / $7,600.00