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Texas rates for HCPCS L5976

All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)

Facilitymedian $562 · 10th–90th $316–$2,0420%10%20%10th90th$562Professionalmedian $355 · 10th–90th $295–$6310%20%40%10th90th$355$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $354.81 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $524.81
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $741.31 / $741.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $416.87
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,309.57 / $6,309.57
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $575.44 / $954.99
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $363.08 / $741.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $363.08 / $363.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $562.34 / $954.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $512.86 / $776.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $416.87 / $512.86
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $741.31 / $741.31