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Missouri 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
$1.00 / $1.00 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.32 / $4.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.56 / $1.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $1.10 / $2.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.55 / $5.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.58 / $0.71 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.52 / $0.83