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Texas rates for HCPCS A6228

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $1.07 / $1.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.06 / $1.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $1.98 / $2.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $12.37 / $12.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.69 / $2.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.18 / $2.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.69 / $2.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.86 / $1.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $3.20