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Utah rates for HCPCS A6453

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

Professionalmedian $1 · 10th–90th $0$40%10%20%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.80 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.58 / $0.79 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.63 / $0.63
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.87 / $0.89
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.89 / $1.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.37 / $0.54