go back

Utah rates for HCPCS A6452

High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 ft lbs at 50% maximum stretch, width greater than or equal to 3 in and less than 5 in, per yd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $5.01 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $6.76 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.89 / $5.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.32 / $8.32
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.32 / $10.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.47 / $5.01