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Alaska rates for HCPCS A6454

Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 3 in and less than 5 in, per yd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.04 / $1.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.04 / $1.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $3.30
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.07 / $1.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $1.04 / $1.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.91 / $1.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.62 / $2.73