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Indiana 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
$0.94 / $0.94 / $1.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.66 / $0.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.43 / $1.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.32 / $1.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.55 / $0.81