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Texas rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Facilitymedian $6,761 · 10th–90th $3,802–$17,3780%10%20%10th90th$6,761Professionalmedian $4,169 · 10th–90th $3,715–$7,4130%20%40%10th90th$4,169$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$3,801.89 / $3,801.89 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $4,265.80 / $7,585.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $5,248.07
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
$4,168.69 / $4,168.69 / $4,168.69
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,165.95 / $6,606.93 / $8,912.51
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $8,912.51 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $6,025.60
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $41,686.94 / $41,686.94
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44,668.36 / $63,095.73 / $63,095.73
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,760.83 / $11,220.18
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,265.80 / $8,709.64
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $5,495.41
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $6,760.83 / $11,220.18
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $6,025.60 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,786.30 / $5,888.44
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $8,912.51 / $8,912.51