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Texas rates for HCPCS 67570

Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.00 / $3,682.00 / $12,040.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.19 / $1,516.35 / $2,165.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,828.92 / $4,909.47 / $9,381.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.30 / $1,434.14 / $1,964.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.58 / $1,079.58 / $1,127.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,953.70 / $1,953.70 / $2,017.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.72 / $1,522.85 / $2,271.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,001.70 / $26,542.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,100.40 / $9,483.12 / $10,377.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.44 / $1,516.35 / $2,196.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.27 / $1,817.55 / $5,306.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.20 / $1,290.20 / $1,290.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.44 / $1,521.35 / $2,429.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.27 / $1,560.92 / $2,453.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,634.00 / $4,200.00 / $10,600.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.93 / $1,274.50 / $1,867.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.15 / $1,170.27 / $1,643.34