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Texas rates for HCPCS L0859

Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$817.20 / $849.25 / $2,212.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.28 / $849.25 / $1,201.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.59 / $1,089.59 / $1,089.59
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,829.93 / $1,829.93 / $1,829.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.19 / $969.19 / $969.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.51 / $707.51 / $707.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,786.07 / $7,319.72 / $7,319.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,113.04 / $9,113.04 / $10,293.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.03 / $1,344.98 / $1,829.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.03 / $1,547.48 / $1,829.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.03 / $1,100.17 / $1,829.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.51 / $707.51 / $1,201.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.59 / $825.13 / $1,040.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.05 / $822.24 / $1,829.93