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Arizona 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
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.66 / $0.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $70.00 / $70.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.68 / $1.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.97 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.10 / $1.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.46 / $5.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.46 / $0.69