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California rates for HCPCS A6454

Self-Adherent Bandage Elastic Non-Knitted/Non-Woven Width Greater Than Or Equal To Three Inches And Less Than Five Inches Per Yard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.32 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.47 / $3.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.42 / $0.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $1.02
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.59 / $2.27
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $2.77 / $4.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.21 / $1.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.43 / $2.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $5.48 / $8.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.10 / $1.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $1.15
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.49 / $1.53