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Texas rates for HCPCS L2040

Hip-knee-ankle-foot orthosis (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.33 / $91.08 / $92.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.58 / $92.83 / $173.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.10 / $119.10 / $119.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.02 / $200.02 / $200.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.94 / $142.94 / $142.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $104.35 / $142.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.50 / $1,059.51 / $1,059.51
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.30 / $1,294.30 / $1,500.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.42 / $139.38 / $200.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.42 / $180.02 / $257.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.42 / $139.38 / $200.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.35 / $104.35 / $147.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.16 / $123.02 / $143.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.68 / $119.83 / $200.02