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Texas rates for HCPCS L5712

Addition, exoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.56 / $298.56 / $322.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.16 / $317.42 / $597.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.93 / $681.93 / $681.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.44 / $364.44 / $364.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.04 / $266.04 / $364.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.97 / $2,756.24 / $3,275.46
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,923.06 / $4,017.20 / $4,433.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.57 / $475.24 / $681.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.45 / $613.74 / $681.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.57 / $455.65 / $681.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.04 / $266.04 / $388.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.02 / $318.07 / $397.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.95 / $315.95 / $681.93