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Texas rates for HCPCS L5600

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,336.56 / $2,336.56 / $2,523.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,336.56 / $2,523.48 / $4,673.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,336.83 / $5,336.83 / $5,336.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,072.36 / $4,072.36 / $4,072.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,972.82 / $2,972.82 / $4,072.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,838.84 / $28,628.31 / $33,799.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40,587.48 / $41,561.60 / $44,265.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.86 / $3,744.22 / $5,336.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.25 / $4,909.88 / $6,829.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.86 / $3,819.68 / $5,336.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,972.82 / $2,972.82 / $4,194.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,218.73 / $3,282.25 / $4,011.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,205.32 / $3,229.36 / $5,336.83