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Texas rates for HCPCS L6915

Hand Restoration (Shading And Measurements Included) Replacement Glove For Above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.97 / $328.97 / $355.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.97 / $366.67 / $671.70
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.38 / $751.38 / $751.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $470.38 / $644.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,034.25 / $4,603.08 / $4,603.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,651.54 / $4,651.54 / $5,635.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $537.78 / $751.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.73 / $685.02 / $871.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $552.26 / $751.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $470.38 / $646.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.38 / $462.11 / $564.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.39 / $459.77 / $751.38