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Texas rates for HCPCS L3630

Transfer Of An Orthosis From One Shoe To Another Solid Stirrup New (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.35 / $55.41 / $56.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.15 / $56.48 / $91.64
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
$72.45 / $72.45 / $72.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.69 / $121.69 / $121.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $67.56 / $67.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $67.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.38 / $563.71 / $563.71
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.50 / $609.50 / $886.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $81.31 / $121.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.83 / $109.52 / $121.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.09 / $124.12 / $273.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $75.45 / $121.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.33 / $49.33 / $72.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.96 / $66.51 / $77.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.14 / $64.79 / $121.69