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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

Facilitymedian $1 · 10th–90th $1–$110%10%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%10%20%10th90th$1$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $11.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $4.79
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.56 / $1.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.59 / $1.10 / $2.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.55 / $5.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $0.71 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.52 / $0.81