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Texas rates for HCPCS 63655

Lam Impltj Nstim Eltrds Plate/Paddle Edrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,730.00 / $14,316.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,327.73 / $28,919.13 / $58,609.44
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,601.23 / $20,623.50 / $57,955.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.21 / $37,725.76 / $37,725.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.09 / $3,603.00 / $6,702.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$95.44 / $95.44 / $95.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $20,000.00 / $102,689.75
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$185.04 / $9,733.53 / $9,733.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.29 / $1,004.61 / $1,837.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.67 / $1,007.14 / $1,884.73
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$320.04 / $320.04 / $320.04
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$95.44 / $95.44 / $272.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $8,590.00 / $44,686.00