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Texas rates for HCPCS L3500

Orthopedic shoe addition, insole, leather

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.84 / $16.14 / $16.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.91 / $16.46 / $26.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.88 / $16.88 / $21.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.47 / $35.47 / $35.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.58 / $23.58 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $17.21 / $23.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $164.13 / $164.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.29 / $177.29 / $258.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $23.69 / $35.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $31.92 / $35.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.14 / $36.18 / $79.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $23.58 / $35.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.21 / $17.21 / $25.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.07 / $15.57 / $18.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $18.68 / $22.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $19.17 / $35.47