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Texas rates for HCPCS L7499

Upper extremity prosthesis, not otherwise specified

Insurance Carrier
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
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.23 / $2,682.23 / $2,682.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $1,703.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,682.23 / $2,682.23 / $2,682.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,500.00 / $2,500.00