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Texas rates for HCPCS L6616

Upper extremity addition, additional disconnect insert for locking wrist unit, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.37 / $43.37 / $46.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.90 / $46.76 / $86.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $58.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.05 / $99.05 / $99.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.36 / $50.36 / $50.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $36.76 / $50.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.36 / $404.35 / $404.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.30 / $490.30 / $680.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $69.03 / $99.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.36 / $89.15 / $99.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $66.18 / $99.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.76 / $36.76 / $53.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $47.88 / $59.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.12 / $50.93 / $99.05