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Texas rates for HCPCS L2200

Addition to lower extremity, limited ankle motion, each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $75.86 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $32.36 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $51.29 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $58.88 / $72.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $38.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $50.12 / $109.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $33.11 / $72.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $48.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $53.70 / $89.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $38.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $26.92 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $32.36 / $38.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44