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Texas rates for HCPCS L3090

Foot Arch Support Non-Removable Attached To Shoe Longitudinal/Metatarsal Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.02 / $22.45 / $22.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.73 / $22.89 / $37.13
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
$26.42 / $29.36 / $29.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.32 / $49.32 / $49.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $27.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $27.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $228.34 / $228.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.66 / $246.66 / $359.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $32.95 / $49.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $45.37 / $49.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $49.32 / $113.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $29.64 / $49.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $28.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $26.00 / $31.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.27 / $26.70 / $49.32