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Texas rates for HCPCS L3253

Foot Molded Shoe Plastazote (Or Similar) Custom Fitted Each (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.47 / $16.94 / $51.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $16.66 / $24.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.94 / $54.94 / $54.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.28 / $165.11 / $165.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.02 / $220.50 / $254.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $27.51 / $50.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.87 / $15.04 / $27.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $74.97 / $76.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $27.51 / $54.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.11 / $40.11 / $54.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $19.34 / $36.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.64 / $67.64 / $78.42