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Montana 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
$0.28 / $0.66 / $3.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $86,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $1.15 / $1.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.04 / $1.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.46 / $0.55