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Texas rates for HCPCS 61613

Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,388.44 / $5,128.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $5,011.87 / $6,918.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,365.16 / $6,760.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $58,884.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,908.68 / $29,512.09 / $29,512.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,890.45 / $7,413.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,168.69 / $5,754.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $446.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $6,456.54 / $8,317.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $4,073.80 / $7,413.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,365.16 / $6,760.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $2,454.71 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,630.78 / $5,623.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,467.37 / $3,467.37