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Texas rates for HCPCS 65400

Excision of lesion, cornea (keratectomy, lamellar, partial), except pterygium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.23 / $2,000.00 / $6,762.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$452.17 / $525.46 / $732.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.96 / $708.44 / $1,049.10
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$388.47 / $544.82 / $801.97
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$77.69 / $108.96 / $160.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.42 / $815.44 / $1,082.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.55 / $1,315.36 / $2,735.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.35 / $691.54 / $1,029.90
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.66 / $770.62 / $1,113.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.76 / $510.76 / $708.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.55 / $610.55 / $630.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.47 / $777.29 / $1,129.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,117.62 / $12,000.00 / $12,000.00
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,866.51 / $2,152.54 / $2,152.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,370.96 / $5,003.20 / $5,720.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.26 / $731.16 / $1,113.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.40 / $871.91 / $1,133.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.36 / $664.27 / $752.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.26 / $737.51 / $1,191.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.04 / $799.31 / $1,226.61
Providence
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$1,023.14 / $1,023.14 / $1,047.39
Providence
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$255.78 / $255.78 / $261.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,054.00 / $4,509.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.38 / $700.50 / $1,032.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.25 / $643.42 / $904.64