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Kentucky 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
$0.56 / $0.64 / $0.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.64 / $0.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.55 / $1.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.19 / $1.54 / $2.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $1.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.64 / $1.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.55 / $0.72