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Maryland 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
$3.43 / $5.40 / $72.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.74 / $1.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.42 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.55 / $0.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.94