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Texas rates for HCPCS 57415

Removal Impacted Vag Fb Spx W/Anes Oth/Thn Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.00 / $2,630.00 / $7,495.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.80 / $3,872.05 / $7,494.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.61 / $152.61 / $152.61
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 / $16,394.00 / $16,394.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.97 / $205.48 / $359.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.97 / $209.44 / $405.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,347.00 / $7,600.00