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Texas rates for HCPCS 61864

Strtctc Impltj Nstim Eltrd W/O Record Ea Array

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.32 / $3,596.00 / $12,040.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.44 / $497.13 / $2,517.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.86 / $251.86 / $251.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,332.36
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$59.73 / $133.24 / $133.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.39 / $393.26 / $771.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.39 / $397.20 / $771.49
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$90.97 / $90.97 / $90.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $2,064.00 / $8,759.00