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Texas rates for HCPCS L6611

Addition to upper extremity prosthesis, external powered, additional switch, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.77 / $218.77 / $236.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.77 / $236.27 / $437.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.52 / $297.52 / $297.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.69 / $499.69 / $499.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.50 / $321.50 / $321.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.70 / $234.70 / $234.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$835.01 / $2,314.59 / $2,314.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,502.40 / $2,502.40 / $3,638.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.01 / $375.52 / $499.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.62 / $449.72 / $499.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.01 / $334.25 / $499.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.70 / $234.70 / $424.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.60 / $273.08 / $333.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.69 / $298.61 / $499.69