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Texas rates for HCPCS A6501

Compression burn garment, bodysuit (head to foot), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.52 / $1,159.52 / $1,159.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.79 / $42.79 / $70.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.24 / $31.24 / $31.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $197.12
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.44 / $253.44 / $253.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $14.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $14.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.24 / $31.24 / $31.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.00 / $376.00 / $507.60