go back

Texas rates for HCPCS A6254

Specialty Absorptive Dressing Wound Cover Pad Size 16 Sq. In. Or Less With Any Size Adhesive Border Each Dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $1.10 / $1.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $1.10 / $1.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.88 / $4.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $17.67 / $18.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.33 / $2.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.59 / $1.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.92 / $3.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.33 / $2.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.78 / $1.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $1.67 / $2.25