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Illinois rates for HCPCS A6453

Self-Adherent Bandage Elastic Non-Knitted/Non-Woven Width Less Than Three Inches Per Yard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.51 / $0.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $2.33 / $7.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.66 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $1.06 / $2.13
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $1.20 / $1.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.44 / $0.77