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Texas rates for HCPCS 63709

Rpr Dural/Csf Leak/Pseudomeningocele W/Lam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$932.70 / $3,682.00 / $12,281.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,104.23 / $1,894.28 / $7,912.09
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $1,052.72 / $1,092.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,271.82 / $1,271.82 / $1,271.82
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$126.39 / $126.39 / $126.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $11,421.45
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$244.93 / $516.36 / $550.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.61 / $1,342.24 / $2,444.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.71 / $1,346.12 / $2,506.46
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$126.39 / $126.39 / $362.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.00 / $2,064.00 / $8,759.00