go back

Texas rates for HCPCS 63052

Lam Facetec/Foramot Drg Arthrd Lumbar 1 Vrt Sgm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $2,166.00 / $8,695.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,845.00 / $5,646.00 / $8,585.00
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.00 / $1,039.88 / $8,000.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.40 / $97.40 / $224.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.27 / $3,603.00 / $6,702.00
Cigna
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$179.89 / $179.89 / $179.89
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$28.78 / $28.78 / $28.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,116.84 / $5,000.00
Lucent Health
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$347.99 / $735.14 / $762.56
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$55.68 / $117.62 / $122.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.79 / $282.92 / $461.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.30 / $285.17 / $461.52
Providence
Facility/Professional
Facility
Modifier
62
Low / Median / High Price
$179.89 / $179.89 / $382.43
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$97.90 / $97.90 / $97.90
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$28.78 / $28.78 / $83.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.00 / $950.00 / $3,695.00