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Texas rates for HCPCS L5990

Addition to lower extremity prosthesis, user adjustable heel height

Facilitymedian $1,698 · 10th–90th $955$4,3650%10%20%10th90th$1,698Professionalmedian $1,072 · 10th–90th $891$1,9050%20%10th90th$1,072$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$954.99 / $954.99 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,071.52 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $2,238.72 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,230.27
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $10,471.29 / $10,471.29
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11,220.18 / $15,848.93 / $15,848.93
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,737.80 / $2,818.38
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,096.48 / $2,137.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,698.24
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $1,698.24 / $2,818.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,230.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $1,548.82 / $2,238.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,202.26 / $1,479.11
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $2,238.72 / $2,238.72