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Texas rates for HCPCS L7191

Electronic Elbow Child Variety Village Or Equal Myoelectronically Controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,382.21 / $6,382.21 / $6,892.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,871.63 / $6,892.78 / $12,764.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,577.32 / $14,577.32 / $14,577.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,732.85 / $8,732.85 / $8,732.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $6,374.98 / $8,732.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,679.61 / $58,756.37 / $58,756.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72,157.73 / $72,157.73 / $101,671.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,573.07 / $10,158.99 / $14,577.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,613.40 / $12,327.32 / $14,577.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,573.07 / $9,740.16 / $14,577.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $6,374.98 / $8,994.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,544.86 / $5,544.86 / $5,544.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,612.20 / $6,822.97 / $8,469.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,713.03 / $6,777.58 / $14,577.32