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Washington rates for HCPCS A6453

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

Facilitymedian $1 · 10th–90th $1–$20%10%10th90th$1Professionalmedian $1 · 10th–90th $0–$40%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
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $26.30 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $3.80 / $7.41
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $0.45 / $0.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $1.10 / $1.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $1.12 / $1.62
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.85 / $0.87
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.87 / $0.87
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.38 / $1.70
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $0.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.78 / $1.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.28 / $0.28 / $0.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.37 / $0.71
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $1.35