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Texas rates for HCPCS L6676

Upper extremity addition, harness, (e.g., figure of eight type), dual cable design

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.93 / $68.93 / $74.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.93 / $74.44 / $137.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.92 / $74.92 / $93.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.43 / $157.43 / $157.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $97.54 / $97.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $71.20 / $97.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.08 / $771.31 / $921.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.17 / $1,020.06 / $1,313.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.88 / $109.71 / $157.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.41 / $144.84 / $177.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.88 / $105.19 / $157.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $71.20 / $103.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.52 / $89.52 / $109.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.08 / $88.15 / $157.43