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Louisiana 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
$0.63 / $0.77 / $0.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.77 / $0.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $1.63 / $2.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.68 / $0.68
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.52 / $0.77