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Michigan rates for HCPCS A6453

Self-adherent bandage, elastic, nonknitted/nonwoven, width less than 3 in, per yd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.56 / $0.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $2.65 / $5.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.88 / $1.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.45 / $1.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.62 / $1.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.48 / $0.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.41 / $0.66