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Texas rates for HCPCS 64716

Neuroplasty &/Transposition Cranial Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.82 / $3,213.00 / $10,836.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.22 / $2,733.77 / $5,797.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $458.11 / $463.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.69 / $578.69 / $578.69
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$57.75 / $57.75 / $57.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,856.06 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$117.26 / $497.27 / $497.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.44 / $629.66 / $1,143.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$486.74 / $630.83 / $1,173.08
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$57.75 / $57.75 / $165.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00