go back

Texas rates for HCPCS L5986

All lower extremity prostheses, multiaxial rotation unit (MCP or equal)

Facilitymedian $661 · 10th–90th $355–$2,2910%10%10th90th$661Professionalmedian $389 · 10th–90th $331–$7080%50%10th90th$389$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
$354.81 / $354.81 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $389.05 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $478.63 / $616.60
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
$380.19 / $380.19 / $380.19
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $616.60 / $812.83
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $660.69
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,073.80
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,623.41 / $5,754.40 / $5,754.40
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $645.65 / $1,122.02
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $407.38 / $851.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $426.58
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $660.69 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $588.84 / $870.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $467.74 / $575.44
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $812.83 / $812.83