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Texas rates for HCPCS L5984

All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.29 / $353.29 / $381.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.39 / $381.55 / $706.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.70 / $572.91 / $605.19
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
$384.02 / $432.42 / $480.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.57 / $706.57 / $806.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $427.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $311.89 / $427.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,575.73 / $3,613.43 / $4,330.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,729.14 / $4,842.63 / $5,128.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.22 / $562.36 / $806.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.70 / $742.37 / $867.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.22 / $539.17 / $806.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $311.89 / $455.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.26 / $420.52 / $522.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.75 / $414.81 / $806.92