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Texas rates for HCPCS L4394

Replace soft interface material, foot drop splint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.28 / $9.47 / $9.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $9.66 / $15.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $12.39 / $12.39
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.82 / $20.82 / $20.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $13.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $13.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $96.08 / $96.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.06 / $103.06 / $151.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $14.07 / $20.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $18.73 / $20.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.18 / $22.09 / $79.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $13.91 / $20.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $9.77 / $13.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.10 / $9.11 / $10.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $11.09 / $13.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $11.78 / $20.82