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Montana 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
$7.76 / $21.34 / $31.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.27 / $0.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $0.92 / $0.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.92 / $0.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $0.84 / $0.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.69 / $1.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.37 / $0.44