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Texas rates for HCPCS L5785

Addition Exoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.39 / $304.39 / $328.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.39 / $328.75 / $608.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.98 / $413.98 / $413.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.28 / $695.28 / $695.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.66 / $389.66 / $389.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $284.45 / $389.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,247.19 / $3,225.13 / $3,225.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,687.45 / $3,687.45 / $4,676.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.84 / $484.53 / $695.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.11 / $639.66 / $744.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.84 / $464.55 / $695.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.45 / $284.45 / $415.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.25 / $383.51 / $468.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.34 / $461.60 / $695.28