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Texas rates for HCPCS A6222

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.93 / $2.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.96 / $2.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $3.35 / $8.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.56 / $57.56 / $57.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $1.79 / $3.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.05 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $14.84 / $22.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $2.33 / $3.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.83 / $2.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $3.43 / $5.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $2.34 / $3.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $2.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.37 / $1.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.98 / $4.01