go back

Texas rates for HCPCS L5680

Addition To Lower Extremity Below Knee Thigh Lacer Nonmolded

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.54 / $171.54 / $185.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.54 / $185.26 / $343.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.29 / $233.29 / $233.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.80 / $391.80 / $391.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $228.28 / $228.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $166.64 / $228.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.75 / $1,903.31 / $1,903.31
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,245.58 / $2,245.58 / $3,508.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.66 / $273.02 / $391.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.99 / $352.62 / $425.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.66 / $261.77 / $391.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $166.64 / $243.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.88 / $224.68 / $274.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.06 / $221.25 / $391.80