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Texas rates for HCPCS L4394

Replace soft interface material, foot drop splint

Facilitymedian $16 · 10th–90th $9$580%10%10th90th$16Professionalmedian $10 · 10th–90th $8$140%20%10th90th$10$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.55 / $12.88
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $13.49
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $151.36 / $151.36
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $16.22 / $27.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $19.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $16.60
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $15.49 / $27.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $13.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $13.18 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $11.22 / $13.18
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $21.38 / $21.38