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Iowa 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
$0.63 / $0.92 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.26 / $1.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.19 / $1.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $1.20 / $1.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.69 / $2.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.21 / $1.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.26 / $1.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.60 / $2.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.55 / $0.94
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.99 / $0.99