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Texas rates for HCPCS L6715

Terminal Device Multiple Articulating Digit Includes Motor(S) Initial Issue Or Replacement (Reinstated Code Previous Description Was Terminal Device Hook Dorrance Or Equal Model # 5xa (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,677.56 / $1,677.56 / $1,811.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.56 / $1,811.76 / $3,355.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,831.64 / $3,831.64 / $3,831.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.07 / $2,381.07 / $2,381.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.18 / $1,738.18 / $2,381.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,403.10 / $17,752.32 / $17,752.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,227.03 / $19,227.03 / $27,899.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.64 / $2,494.36 / $3,831.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,494.36 / $3,525.11 / $3,831.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.64 / $2,494.36 / $3,831.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.18 / $1,738.18 / $3,093.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.86 / $2,094.52 / $2,618.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.73 / $3,053.24 / $3,831.64