go back

Texas rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Facilitymedian $427 · 10th–90th $240–$1,1220%10%20%10th90th$427Professionalmedian $263 · 10th–90th $191–$4900%20%10th90th$263$0.5$2.0$10.0$50.0$200.0$1.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $257.04 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $575.44 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $269.15 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $269.15
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,235.94 / $3,235.94
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $426.58 / $707.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $263.03 / $549.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $331.13 / $331.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $426.58 / $707.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $331.13 / $501.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $269.15 / $331.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $575.44 / $575.44