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Texas rates for HCPCS D4270

Pedicle Soft Tissue Graft Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.64 / $228.64 / $253.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.97 / $247.87 / $303.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.26 / $3,728.65 / $3,728.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.54 / $1,819.54 / $2,338.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.42 / $368.97 / $585.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.61 / $258.61 / $258.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.41 / $373.03 / $585.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.61 / $467.49 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.00 / $932.00 / $932.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.00 / $439.00 / $592.65