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Texas rates for HCPCS 61697

Complx Intracranial Arysm Carotid Circulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,682.00 / $10,836.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,884.51 / $3,884.51 / $3,884.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $75,361.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,787.50 / $5,002.18 / $9,586.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,802.64 / $5,002.18 / $9,725.41
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$1,606.13 / $1,606.13 / $1,606.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00