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Minnesota 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
$0.70 / $0.70 / $0.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.70 / $0.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.09 / $1.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.07 / $1.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $3.10 / $7.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.31 / $1.43
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $2.84 / $6.79
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.10 / $1.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.52 / $1.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.49 / $1.25