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Texas rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,066.61 / $3,066.61 / $3,311.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,927.98 / $3,311.93 / $6,133.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,004.30 / $7,004.30 / $7,004.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.96 / $4,728.96 / $4,728.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $3,452.14 / $4,728.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,483.03 / $34,402.54 / $38,704.47
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,107.80 / $53,358.39 / $53,358.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.27 / $4,881.31 / $7,004.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,990.48 / $6,303.87 / $8,148.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.27 / $4,728.96 / $7,004.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $3,452.14 / $4,870.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,926.06 / $6,926.06 / $8,148.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.69 / $3,758.52 / $4,665.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,670.43 / $3,697.96 / $7,004.30