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Texas rates for HCPCS L6925

Wrist Disarticulation External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Electrodes Cables Two Batteries And One Charger Myoelectronic Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,066.13 / $4,066.13 / $4,391.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,066.13 / $4,529.42 / $8,132.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,419.89 / $5,529.94 / $5,529.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,287.27 / $9,287.27 / $9,287.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,261.93 / $7,261.93 / $7,261.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $5,301.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,028.87 / $48,511.09 / $48,511.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,297.82 / $52,297.82 / $69,356.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,978.39 / $6,515.78 / $9,287.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,012.00 / $8,430.50 / $10,214.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,978.39 / $6,647.09 / $9,287.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,301.21 / $5,301.21 / $8,492.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,844.58 / $5,687.40 / $6,951.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,595.76 / $5,623.53 / $9,287.27