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Texas rates for HCPCS L3956

Addition of joint to upper extremity orthosis, any material; per joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $17.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $17.66 / $19.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $32.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $17.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $147.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.90 / $90.90 / $90.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $56.12 / $56.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $36.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.65 / $42.65 / $42.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $17.66 / $29.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $149.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $76.00 / $76.00