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Missouri rates for HCPCS A6453

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

Facilitymedian $1 · 10th–90th $1–$150%10%10th90th$1Professionalmedian $0 · 10th–90th $0–$10%20%10th90th$0$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.98 / $14.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $3.72 / $7.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.45 / $0.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $0.54 / $0.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.87 / $1.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.44 / $4.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.47 / $0.56 / $0.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.40 / $0.63