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Maine 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
Professional
Modifier
Low / Median / High Price
$0.47 / $0.63 / $0.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.63 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.52 / $1.25