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North Carolina 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
$1.00 / $1.15 / $2.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $77.62 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.62 / $2.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.07 / $1.62
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.51 / $2.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.44 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.52 / $0.72
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $85.11
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $8.32