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Texas rates for HCPCS L7190

Electronic Elbow Adolescent Variety Village Or Equal Myoelectronically Controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,293.03 / $5,293.03 / $5,716.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,820.97 / $5,627.31 / $10,586.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,089.57 / $12,089.57 / $12,089.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,553.03 / $6,553.03 / $6,553.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,783.71 / $4,783.71 / $6,553.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,134.36 / $46,975.22 / $46,975.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59,843.37 / $59,843.37 / $90,671.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.30 / $8,425.26 / $12,089.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,953.26 / $10,223.54 / $12,089.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.30 / $8,077.91 / $12,089.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,783.71 / $4,783.71 / $6,749.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,769.60 / $5,576.48 / $6,922.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,486.62 / $5,539.38 / $12,089.57