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Texas rates for HCPCS L5666

Addition to lower extremity, below knee (BK), cuff suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.05 / $49.05 / $52.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.05 / $52.14 / $98.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.70 / $66.70 / $66.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.02 / $112.02 / $112.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.87 / $59.87 / $59.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $43.71 / $59.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.88 / $445.11 / $532.10
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.50 / $554.50 / $707.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $78.06 / $112.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.36 / $95.22 / $112.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $74.84 / $112.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $43.71 / $63.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.93 / $51.67 / $64.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $50.99 / $112.02