go back

Texas rates for RC 0274

Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.90 / $159.16 / $1,027.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.00 / $19.00 / $55.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $1,061.00 / $1,061.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.24 / $45.24 / $84.48
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.80 / $165.29 / $598.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.00 / $1,061.00 / $1,061.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $4,000.00 / $5,000.00