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Texas rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.82 / $27.82 / $30.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.68 / $29.57 / $55.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.24 / $30.24 / $37.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.54 / $63.54 / $63.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.78 / $29.78 / $29.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $21.74 / $29.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.93 / $253.42 / $301.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.68 / $443.07 / $443.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.35 / $44.28 / $63.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.52 / $56.79 / $63.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.35 / $42.46 / $63.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.74 / $21.74 / $31.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.80 / $29.31 / $36.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.86 / $63.54