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Texas rates for HCPCS L1210

Addition to thoracic-lumbar-sacral orthosis (TLSO), (low profile), lateral thoracic extension

Facilitymedian $240 · 10th–90th $132$7940%10%10th90th$240Professionalmedian $141 · 10th–90th $129$2090%50%10th90th$141$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $281.84 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $144.54 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $234.42 / $295.12
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $190.55
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,951.21 / $2,951.21
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $229.09 / $416.87
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $141.25 / $288.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $190.55
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $223.87 / $416.87
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $190.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $204.17 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $177.83 / $208.93
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $302.00 / $302.00