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Texas rates for HCPCS L3420

Full Sole And Heel Wedge Between Sole (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.57 / $30.15 / $30.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.84 / $30.73 / $49.87
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
$39.43 / $39.43 / $39.43
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.23 / $66.23 / $66.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.78 / $36.78 / $36.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $26.85 / $26.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.70 / $306.82 / $306.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.67 / $331.67 / $482.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $44.25 / $66.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.96 / $59.61 / $66.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $67.55 / $149.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $39.82 / $66.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $26.85 / $53.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $66.70 / $78.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.47 / $35.38 / $42.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.47 / $35.26 / $66.23