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Texas rates for HCPCS L5710

Addition, exoskeletal knee-shin system, single axis, manual lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.92 / $224.92 / $242.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.92 / $242.91 / $449.83
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.72 / $513.72 / $513.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.26 / $279.26 / $279.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.86 / $203.86 / $279.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,068.08 / $2,318.80 / $2,733.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,376.71 / $3,457.76 / $3,457.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.03 / $358.01 / $513.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.60 / $462.35 / $546.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.03 / $343.25 / $513.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.86 / $203.86 / $287.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.68 / $287.68 / $287.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.47 / $265.49 / $329.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.22 / $269.00 / $513.72