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Texas rates for HCPCS A6510

Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
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
$604.41 / $604.41 / $604.41
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.19 / $258.19 / $424.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.58 / $309.58 / $309.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $258.19 / $316.79
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.30 / $407.30 / $407.30
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
$309.58 / $309.58 / $309.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.00 / $285.00 / $384.75