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Texas rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Facilitymedian $224 · 10th–90th $123$6610%10%10th90th$224Professionalmedian $155 · 10th–90th $112$2450%20%10th90th$155$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $147.91 / $245.47
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $223.87
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,479.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,630.27 / $2,630.27
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $229.09 / $389.05
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $154.88 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $169.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $223.87 / $389.05
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $199.53 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $162.18 / $199.53
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $281.84 / $281.84