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Washington 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
$0.50 / $1.13 / $1.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.50 / $1.19
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.77 / $6.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $1.06 / $1.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $1.06 / $1.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.86 / $0.97
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.88 / $0.97
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.77 / $1.43
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.86 / $0.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.75 / $0.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.52 / $0.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.75