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Texas rates for HCPCS L2114

Ankle Foot Orthosis Fracture Orthosis Tibial Fracture Orthosis Semi-Rigid Prefabricated Includes Fitting And Adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.00 / $329.88 / $342.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.91 / $342.82 / $556.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.55 / $351.55 / $439.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.69 / $738.69 / $738.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.60 / $408.60 / $408.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $298.27 / $408.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,545.56 / $3,518.89 / $4,141.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,535.78 / $4,644.63 / $6,534.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.61 / $511.11 / $738.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.61 / $664.82 / $738.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.10 / $738.69 / $1,695.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.61 / $493.59 / $738.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.27 / $298.27 / $435.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.86 / $393.14 / $468.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.93 / $391.76 / $738.69