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Texas rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Facilitymedian $51 · 10th–90th $28$1580%10%20%10th90th$51Professionalmedian $34 · 10th–90th $26$560%20%10th90th$34$0.1$0.5$2.0$10.0$50.0$200.0

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
$28.18 / $28.18 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $44.67
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $616.60 / $616.60
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $53.70 / $93.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $34.67 / $67.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $44.67
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $51.29 / $93.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $46.77 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.02 / $46.77
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $66.07 / $66.07