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Mississippi 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
$0.91 / $0.91 / $0.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.91 / $0.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.52 / $0.91