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Texas rates for HCPCS A6509

Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $416.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
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
$289.89 / $289.89 / $289.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.00 / $262.00 / $267.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.26 / $191.26 / $191.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $748.60 / $748.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.91 / $322.91 / $322.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $3.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $3.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.26 / $191.26 / $191.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $405.00