go back

Texas rates for HCPCS L5970

All lower extremity prostheses, foot, external keel, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.61 / $119.61 / $129.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.67 / $129.16 / $239.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.66 / $162.66 / $162.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.18 / $273.18 / $273.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.91 / $184.91 / $184.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $134.97 / $184.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,287.83 / $1,456.68 / $1,456.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.02 / $1,472.02 / $1,828.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.51 / $190.39 / $273.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.40 / $245.86 / $294.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.51 / $184.91 / $273.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.97 / $134.97 / $197.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.34 / $149.91 / $183.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.50 / $148.22 / $273.18