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Texas rates for HCPCS L5950

Addition, endoskeletal system, above knee (AK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.11 / $545.11 / $588.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.20 / $579.54 / $1,090.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.83 / $933.80 / $933.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.54 / $592.54 / $741.35
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.55 / $933.80 / $1,245.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.22 / $1,090.22 / $1,245.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.49 / $583.49 / $583.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $425.95 / $583.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $4,826.53 / $4,826.53
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,163.10 / $6,163.10 / $7,952.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.75 / $867.69 / $1,245.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.14 / $1,075.95 / $1,245.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.75 / $831.92 / $1,245.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $425.95 / $685.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $466.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.22 / $574.29 / $706.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.04 / $566.70 / $1,245.07