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Pennsylvania 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
$0.43 / $2.25 / $2.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.54 / $0.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.19 / $1.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.37 / $3.37 / $3.37
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $2.25 / $2.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.54 / $0.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.20 / $1.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.84 / $0.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.84 / $0.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.44 / $0.77