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Texas rates for HCPCS L5618

Addition To Lower Extremity Test Socket Symes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.76 / $158.76 / $171.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.76 / $171.46 / $317.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.57 / $215.91 / $215.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.60 / $362.60 / $362.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.68 / $271.68 / $271.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.33 / $198.33 / $271.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.64 / $1,747.51 / $1,747.51
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.00 / $1,856.00 / $2,668.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.72 / $252.69 / $362.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.95 / $326.33 / $374.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.72 / $259.51 / $362.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.33 / $198.33 / $283.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $207.60 / $257.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.26 / $214.69 / $362.60