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Texas rates for HCPCS L2800

Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.67 / $54.72 / $55.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.62 / $55.77 / $92.96
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
$57.19 / $57.19 / $71.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.17 / $120.17 / $120.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.09 / $75.09 / $75.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $54.82 / $75.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.86 / $634.55 / $761.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.91 / $889.74 / $901.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.70 / $83.14 / $120.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.70 / $109.43 / $137.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.10 / $122.57 / $270.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.70 / $80.29 / $120.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.82 / $54.82 / $80.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.62 / $70.41 / $86.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $72.28 / $120.17