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Texas rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Facilitymedian $3,631 · 10th–90th $2,042–$9,7720%10%20%10th90th$3,631Professionalmedian $2,291 · 10th–90th $1,950–$4,1690%20%40%10th90th$2,291$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$2,041.74 / $2,041.74 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,290.87 / $4,168.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,388.44 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,818.38
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $4,786.30 / $4,786.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,754.23 / $2,754.23 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,754.23
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $23,988.33 / $23,988.33
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30,199.52 / $43,651.58 / $43,651.58
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,715.35 / $6,456.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,344.23 / $4,786.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,570.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,630.78 / $6,456.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,754.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,388.44 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,754.23 / $3,388.44
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,786.30 / $4,786.30