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Texas rates for HCPCS L3540

Orthopedic Shoe Addition Sole Full (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.52 / $28.06 / $28.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.90 / $28.60 / $46.41
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
$29.33 / $33.02 / $36.69
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.61 / $61.61 / $61.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.72 / $36.72 / $36.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $36.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.97 / $285.48 / $285.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.61 / $308.61 / $448.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $41.18 / $61.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.64 / $55.45 / $61.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.13 / $62.84 / $138.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $38.21 / $61.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $39.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.77 / $32.90 / $39.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.81 / $61.61