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Texas rates for HCPCS 65875

Severing Ads Ant Seg Incal Spx Post Synechiae

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.00 / $3,570.00 / $12,040.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.46 / $3,194.54 / $6,454.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.85 / $534.85 / $558.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.86 / $1,494.86 / $1,543.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,887.55 / $26,542.00 / $26,542.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.65 / $733.37 / $1,104.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.65 / $746.48 / $1,205.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.00 / $3,264.00 / $7,600.00