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Texas 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
$0.75 / $2.15 / $3,414.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.57 / $0.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $62.00 / $62.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.97 / $2.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.42 / $0.42
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.88
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.53 / $1.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.38 / $6.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.67 / $1.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.84 / $0.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.10 / $1.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.68 / $1.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.41 / $0.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.88 / $1.19