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Texas rates for HCPCS A6257

Transparent film, sterile, 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $1.52 / $3,723.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.41 / $1.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $1.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $2.31 / $5.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.61 / $1.61
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.29 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $10.66 / $16.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.68 / $2.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.02 / $2.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.70 / $4.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.68 / $3.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.99 / $1.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $2.14 / $2.89