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Texas rates for HCPCS L2265

Addition to lower extremity, long tongue stirrup

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $81.28 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $125.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,548.13 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $104.71
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $181.97 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $107.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $131.83 / $199.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $81.28 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $89.13 / $89.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $128.82 / $218.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $66.07 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $79.43 / $95.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97