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Texas rates for HCPCS L3995

Addition To Upper Extremity Orthosis Sock Fracture Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $21.40 / $21.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $21.81 / $29.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $28.01 / $35.25
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
$22.37 / $22.37 / $27.99
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.31 / $37.60 / $47.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.00 / $47.00 / $47.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $29.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.70 / $199.55 / $199.55
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.65 / $232.65 / $360.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $31.79 / $47.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $39.95 / $47.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $42.30 / $55.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $31.42 / $47.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $34.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.99 / $21.67 / $27.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.11 / $22.33 / $47.00