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Massachusetts 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
$0.47 / $0.47 / $0.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.53 / $0.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.25 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $1.07 / $5.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.44 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.55 / $0.55
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.62 / $5.48
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.62 / $1.22