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Texas rates for HCPCS L4010

Replace Trilateral Socket Brim

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.45 / $353.25 / $360.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.87 / $360.04 / $608.50
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.80 / $775.80 / $775.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.01 / $626.01 / $626.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $456.99 / $626.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,964.47 / $4,031.07 / $4,788.43
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,197.82 / $5,322.56 / $6,686.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.51 / $540.66 / $775.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.51 / $698.22 / $901.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.51 / $540.66 / $775.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.99 / $456.99 / $644.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.33 / $454.56 / $541.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.97 / $460.49 / $775.80