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Texas rates for HCPCS 63268

Lam Exc/Evac Ispi Les Oth/Thn Neo Xdrl Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.00 / $3,682.00 / $12,826.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,198.11 / $8,427.00 / $15,732.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,410.57 / $1,475.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,677.66 / $3,603.00 / $6,702.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,000.00 / $14,926.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,323.93 / $1,674.03 / $2,754.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,336.05 / $1,674.03 / $2,978.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $7,123.00 / $16,000.00