go back

Texas rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.71 / $209.74 / $213.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.51 / $213.78 / $302.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $274.27 / $274.27
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.64 / $460.64 / $460.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $215.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $215.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.85 / $1,848.60 / $2,188.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,819.48 / $2,887.16 / $2,887.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.27 / $307.79 / $460.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.27 / $389.54 / $460.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.64 / $506.70 / $1,036.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.27 / $307.79 / $460.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $157.59 / $230.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.63 / $207.70 / $247.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.98 / $210.09 / $460.64