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Texas rates for HCPCS 64713

Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.60 / $2,594.00 / $7,542.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.22 / $2,733.77 / $5,983.34
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $725.75 / $742.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.85 / $910.85 / $910.85
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$90.56 / $90.56 / $90.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,509.66 / $11,500.00 / $16,394.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$180.12 / $497.27 / $497.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.85 / $921.23 / $1,480.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.61 / $924.33 / $1,549.55
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$90.56 / $90.56 / $256.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,239.00 / $7,600.00