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Texas rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.43 / $418.43 / $451.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.26 / $451.90 / $836.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.84 / $569.05 / $569.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.72 / $955.72 / $955.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.94 / $612.94 / $612.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $447.45 / $612.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,105.06 / $4,719.35 / $5,543.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,654.78 / $6,814.49 / $6,814.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.93 / $666.04 / $955.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.11 / $860.15 / $955.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.93 / $638.58 / $955.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $447.45 / $653.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.75 / $577.08 / $672.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.92 / $538.36 / $657.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.69 / $532.32 / $955.72