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Texas rates for HCPCS A6231

Gauze Impregnated Hydrogel For Direct Wound Contact Pad Size 16 Sq. In. Or Less Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $4.29 / $4.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $4.29 / $5.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.27 / $3.27 / $3.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $8.25 / $17.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $3.11 / $3.11
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.94 / $3.94 / $7.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $3.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.30 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.61 / $32.61 / $48.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $5.13 / $8.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $6.22 / $6.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.53 / $8.10 / $12.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $5.13 / $8.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.35 / $3.35 / $5.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.02 / $3.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.90 / $6.53 / $8.82