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Texas rates for HCPCS A6503

Compression burn garment, facial hood, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.52 / $187.52 / $187.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.82 / $100.82 / $100.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $187.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.60 / $139.60 / $139.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $141.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $141.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.82 / $2,250,000.00 / $2,400,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $229.50