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Texas rates for HCPCS L4398

Foot Drop Splint Recumbent Positioning Device Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.79 / $42.61 / $43.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.33 / $43.43 / $67.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.76 / $55.76 / $102.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.54 / $44.54 / $55.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.58 / $93.58 / $93.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $64.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $41.29 / $56.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.34 / $432.48 / $432.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.22 / $463.22 / $681.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.73 / $63.28 / $93.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.73 / $84.22 / $93.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.68 / $99.27 / $358.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.73 / $62.51 / $93.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $41.29 / $64.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.51 / $51.05 / $59.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.41 / $49.72 / $93.58