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Texas rates for HCPCS L3214

Benesch boot, pair, junior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.12 / $27.60 / $28.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.11 / $28.13 / $40.53
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.68 / $49.68 / $49.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $36.27 / $49.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.04 / $278.87 / $278.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.91 / $371.18 / $429.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.22 / $46.46 / $84.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $25.22 / $46.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.22 / $46.46 / $81.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.27 / $36.27 / $49.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.43 / $32.67 / $61.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.79 / $49.79 / $49.79