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Texas rates for HCPCS L6692

Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.91 / $373.91 / $403.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.99 / $403.14 / $747.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.51 / $508.51 / $508.51
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.02 / $854.02 / $854.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $419.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $306.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,567.34 / $3,569.44 / $4,251.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,296.24 / $4,399.34 / $5,106.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.18 / $595.16 / $854.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.62 / $722.19 / $854.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.18 / $570.62 / $854.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $587.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.05 / $412.81 / $512.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.16 / $408.18 / $854.02