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Texas rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.68 / $116.68 / $126.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.68 / $126.01 / $233.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.83 / $126.83 / $158.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.50 / $266.50 / $266.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.52 / $166.52 / $166.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $121.56 / $166.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$546.07 / $1,389.02 / $1,389.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,758.88 / $1,758.88 / $2,177.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.83 / $190.74 / $266.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $243.01 / $355.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.83 / $178.07 / $266.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $121.56 / $177.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.80 / $163.90 / $203.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.26 / $175.88 / $266.50