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Texas rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,141.78 / $9,141.78 / $9,873.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,141.78 / $9,873.12 / $18,283.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,937.12 / $12,432.82 / $12,432.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,880.34 / $20,880.34 / $20,880.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $12,752.32 / $12,752.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $9,309.19 / $12,752.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,265.90 / $98,186.49 / $98,388.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106,003.63 / $106,003.63 / $153,798.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,364.39 / $16,482.29 / $20,880.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,364.39 / $18,792.31 / $20,880.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,364.39 / $15,676.01 / $20,880.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $9,309.19 / $17,205.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,824.10 / $11,574.43 / $14,245.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,303.16 / $11,387.93 / $20,880.34