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Texas rates for HCPCS L4002

Replacement strap, any orthosis, includes all components, any length, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,548.13 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $95.50 / $95.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $52.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $21.38 / $30.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $52.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $8.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92