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Texas rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Facilitymedian $2,692 · 10th–90th $1,479–$7,4130%10%10th90th$2,692Professionalmedian $1,820 · 10th–90th $1,380–$2,9510%20%10th90th$1,820$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$1,479.11 / $1,479.11 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,737.80 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,041.74
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $3,467.37 / $3,467.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $2,454.71
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $16,982.44
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,498.45 / $25,703.96 / $25,703.96
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,754.23 / $4,570.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,819.70 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $1,905.46
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,691.53 / $4,466.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,454.71 / $3,715.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,949.84 / $2,398.83
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,467.37 / $3,467.37