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Texas rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $2.66 / $2.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.66 / $3.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $2.91 / $7.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.43 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.27 / $28.28 / $29.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $4.28 / $6.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.50 / $2.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $4.30 / $6.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.12 / $2.12 / $2.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.15 / $3.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $12.28 / $16.57