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Texas rates for HCPCS 64790

Excision of neurofibroma or neurolemmoma; major peripheral nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $3,213.00 / $11,361.43
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 / $782.16 / $803.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.88 / $970.88 / $970.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,828.92 / $11,500.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.07 / $1,009.28 / $1,570.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.53 / $1,011.55 / $1,715.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.00 / $3,326.00 / $7,600.00