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Texas rates for HCPCS L6582

Preparatory, wrist disarticulation or below elbow, single wall socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, Bowden cable control, USMC or equal pylon, no cover, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.82 / $800.82 / $864.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.56 / $864.88 / $1,601.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.67 / $1,298.67 / $1,298.67
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
$1,089.10 / $1,089.10 / $1,089.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,829.11 / $1,829.11 / $1,829.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.18 / $1,324.18 / $1,324.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.65 / $966.65 / $1,324.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,608.62 / $8,810.16 / $8,810.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,968.65 / $10,968.65 / $12,463.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.04 / $1,274.70 / $1,829.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.04 / $1,646.20 / $1,829.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.04 / $1,309.11 / $1,829.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.65 / $966.65 / $1,363.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.00 / $640.00 / $640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.77 / $1,015.95 / $1,250.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.58 / $1,009.19 / $1,829.11