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Texas rates for HCPCS C9604

Perc D-E Cor Revasc T Cabg S

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,276.00 / $5,178.00 / $18,284.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,558.00 / $16,192.96 / $16,192.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,512.14 / $18,627.93 / $40,822.94
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,648.57 / $13,366.64 / $32,619.34
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,370.29 / $9,370.29 / $9,370.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,475.00 / $19,085.00 / $36,562.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,192.96 / $16,192.96 / $17,326.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21,815.00 / $21,815.00 / $22,596.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,475.00 / $19,035.00 / $45,712.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,680.00 / $12,000.00 / $39,576.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $16.00 / $21.60