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Texas rates for HCPCS 63664

Revj Incl Rplcmt Nstim Eltrd Plt/Pdle Incl Fluor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.85 / $2,181.00 / $7,513.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,989.27 / $28,919.13 / $57,838.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.33 / $17,043.43 / $17,043.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.29 / $1,013.29 / $1,013.29
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$100.85 / $100.85 / $100.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $20,000.00 / $72,083.85
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.83 / $4,909.63 / $4,909.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.33 / $1,003.25 / $1,672.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.33 / $1,014.38 / $1,910.59
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$100.85 / $100.85 / $286.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $7,358.00 / $16,982.00