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Texas rates for HCPCS K0019

Arm Pad Replacement Only Each (Desc Revised 1/1/2017)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $9.35 / $13.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $18.53 / $18.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.37 / $55.00 / $63.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.25 / $1.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.38 / $14.38 / $19.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.65 / $10.65 / $16.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.05 / $10.65 / $13.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.00 / $80.00 / $80.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $12.89 / $19.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $13.23 / $17.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $10.65 / $19.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.05 / $10.65 / $13.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $9.90 / $14.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.85 / $12.97 / $12.97