go back

Texas rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.89 / $51.89 / $52.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.68 / $52.88 / $91.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.95 / $113.95 / $113.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.33 / $84.33 / $84.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $61.56 / $84.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.85 / $618.45 / $618.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.95 / $667.95 / $873.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.70 / $79.41 / $113.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.70 / $103.93 / $134.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.70 / $79.41 / $113.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $61.56 / $86.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.38 / $68.50 / $81.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.27 / $69.41 / $113.95