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Illinois 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
$0.61 / $1.86 / $75.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.63 / $0.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.50 / $9.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.83 / $0.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.39 / $2.67
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.43 / $1.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $1.50 / $1.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.55 / $0.91