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Texas rates for HCPCS L5620

Addition To Lower Extremity Test Socket Below Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.79 / $194.79 / $210.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.32 / $207.09 / $389.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.08 / $311.44 / $333.69
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
$211.74 / $211.74 / $264.91
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.44 / $333.68 / $444.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.75 / $306.75 / $444.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.59 / $209.59 / $209.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $209.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$667.37 / $1,729.07 / $1,729.07
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,202.30 / $2,202.30 / $2,960.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.47 / $310.06 / $444.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.69 / $378.17 / $444.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.47 / $297.27 / $444.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $230.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.27 / $221.96 / $256.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.72 / $205.22 / $250.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.92 / $202.82 / $444.91