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Montana rates for HCPCS A6453

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

Facilitymedian $1 · 10th–90th $1–$30%20%40%10th90th$1Professionalmedian $1 · 10th–90th $0–$70%20%10th90th$1$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$4.79 / $7.76 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.80 / $7.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $69,183.10 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $0.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.91 / $0.91
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.85 / $1.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.85 / $1.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.50 / $0.81 / $1.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $1.26 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.37 / $0.46