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Texas rates for HCPCS L2624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.89 / $182.40 / $185.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.87 / $185.90 / $411.26
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
$190.64 / $190.64 / $238.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.58 / $400.58 / $400.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $291.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.90 / $2,011.56 / $2,362.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,530.79 / $3,615.53 / $3,615.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.15 / $277.16 / $400.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.15 / $368.30 / $400.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.58 / $440.64 / $901.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.15 / $279.16 / $400.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $310.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.99 / $184.46 / $217.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.10 / $224.29 / $267.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.79 / $223.50 / $400.58