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Texas rates for HCPCS L5686

Addition To Lower Extremity Below Knee Back Check (Extension Control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.39 / $28.39 / $30.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.39 / $30.66 / $56.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.61 / $38.61 / $38.61
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.84 / $64.84 / $64.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.94 / $44.94 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $44.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.96 / $353.88 / $353.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.45 / $392.45 / $613.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.75 / $45.19 / $64.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.97 / $58.36 / $76.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.75 / $44.94 / $64.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $47.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.24 / $37.24 / $37.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.49 / $37.71 / $46.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.10 / $39.13 / $64.84