L.e.t. (Lido,epi,tetracain) 3ml Topical at Chambers Health

Anahuac, TX

Pricing by billing methodology

Price type

Payers reporting CPT 54811 at Chambers Health

Negotiated rates from the hospital’s own file: 3 payers, 4 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Bcbs Tx blue advantage hmo percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
2	Bcbs Tx ppo percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
3	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
4	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26

Last updated: Aug 6, 2026

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