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Texas rates for HCPCS L6675

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Single Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.56 / $65.56 / $70.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $70.80 / $131.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.23 / $89.16 / $89.16
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.75 / $149.75 / $149.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $90.07 / $90.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $65.75 / $90.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.36 / $870.20 / $870.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.36 / $879.36 / $1,223.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.42 / $104.36 / $149.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.95 / $136.93 / $149.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.42 / $100.06 / $149.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $65.75 / $96.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.93 / $88.65 / $108.32
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.22 / $87.33 / $149.75