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Texas rates for HCPCS 58925

Ovarian cystectomy, unilateral or bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$916.00 / $3,611.00 / $12,281.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,673.52 / $6,578.17 / $12,900.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.81 / $1,249.59 / $1,249.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $10,899.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.79 / $971.85 / $1,639.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$745.79 / $972.60 / $1,678.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,313.00 / $10,600.00