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Texas rates for HCPCS A6219

Gauze, nonimpregnated, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.88 / $0.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.88 / $1.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $1.11 / $3.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.64 / $0.64
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.09 / $1.46
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.70 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $7.35 / $9.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $1.05 / $1.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.26 / $1.33
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $864.00 / $1,036.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.60 / $2.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $1.05 / $1.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.61 / $0.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $1.33 / $1.80