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Illinois 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

Facilitymedian $9 · 10th–90th $2–$1480%10%10th90th$9Professionalmedian $1 · 10th–90th $1–$10%20%10th90th$1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $75.86 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.12 / $2.14
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $81.28 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $2.69 / $9.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.83 / $0.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.55
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.41 / $2.69
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.51 / $0.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.87 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.55 / $0.95