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Texas rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $40.74 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,548.13 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $48.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $588.84 / $588.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $67.61 / $109.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $42.66 / $75.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $47.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $63.10 / $114.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $54.95 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $47.86 / $58.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43