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Texas rates for HCPCS L5614

Addition to lower extremity, exoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with pneumatic swing phase control

Facilitymedian $1,585 · 10th–90th $891$4,4670%10%20%10th90th$1,585Professionalmedian $1,000 · 10th–90th $871$1,7780%20%40%10th90th$1,000$2.0$10.0$50.0$200.0$1.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,000.00
Typical High
$1,778.28
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$2,089.30
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$9,772.37
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$15,135.61
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,584.89
Typical High
$2,630.27
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$2,041.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,584.89
Providence
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,584.89
Typical High
$2,630.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,412.54
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$1,380.38
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$2,089.30
Typical High
$2,089.30