go back

Texas rates for HCPCS A6253

Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.42 / $5.81 / $7.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $5.81 / $7.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.70 / $9.94 / $24.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $4.21 / $4.21
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $5.66 / $6.64
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.87 / $174.87 / $174.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $5.32 / $10.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $4.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.97 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.05 / $50.22 / $66.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $6.93 / $11.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $8.41 / $8.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $10.18 / $17.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $6.97 / $11.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $7.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $4.09 / $5.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $8.85 / $11.95