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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
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.04 / $138.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $104.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $50.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $109.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $79.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82