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Texas rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.64 / $372.64 / $402.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.02 / $396.17 / $745.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.79 / $506.79 / $506.79
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.13 / $851.13 / $851.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $412.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $412.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.94 / $3,399.27 / $4,042.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.20 / $4,901.09 / $4,901.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.60 / $593.16 / $851.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.92 / $739.16 / $851.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.60 / $568.71 / $851.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $301.45 / $440.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.39 / $392.60 / $487.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.27 / $389.98 / $851.13