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Texas rates for HCPCS L2188

Addition To Lower Extremity Fracture Orthosis Quadrilateral Brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.25 / $179.71 / $183.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.99 / $183.16 / $290.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.00 / $235.00 / $235.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.68 / $394.68 / $394.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.27 / $218.27 / $218.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $159.34 / $218.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.92 / $1,743.72 / $1,743.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,159.38 / $2,159.38 / $3,374.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.67 / $263.70 / $394.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.67 / $355.21 / $394.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.68 / $434.15 / $888.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.67 / $263.70 / $394.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.34 / $159.34 / $224.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.27 / $202.85 / $241.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.21 / $205.57 / $394.68