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Texas rates for HCPCS A4452

Tape Waterproof Per 18 Square Inches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.27 / $0.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.26 / $0.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $22.00 / $22.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.61 / $1.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.33 / $12.11
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.33 / $0.39
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.82 / $15.82 / $15.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.49 / $0.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.47 / $0.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.49 / $0.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.26 / $0.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.27