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Texas rates for HCPCS A6221

Gauze, nonimpregnated, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $1.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.37 / $6,948.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $2.22 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $5.14 / $5.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.69 / $4.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $4.04 / $5.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.72 / $4.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $3.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $2.20 / $2.97