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Texas rates for HCPCS L8410

Prosthetic Sheath Above Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.09 / $12.09 / $13.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $13.06 / $24.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.46 / $16.46 / $20.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.14 / $13.14 / $16.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.61 / $27.61 / $27.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $16.62 / $16.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $12.13 / $16.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.87 / $154.33 / $154.33
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.21 / $157.21 / $229.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $19.26 / $27.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $24.85 / $31.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $18.47 / $27.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $12.13 / $17.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $16.25 / $16.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $15.29 / $18.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.05 / $15.47 / $27.61