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Texas rates for HCPCS L3209

Surgical boot, each, child

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.75 / $14.53 / $15.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.69 / $14.81 / $21.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.60 / $27.60 / $27.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $27.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.59 / $146.78 / $146.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.28 / $194.77 / $226.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $24.45 / $44.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $13.16 / $24.45
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.05 / $29.42 / $32.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $24.45 / $42.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $27.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $17.18 / $31.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $39.11 / $56.42