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North Dakota 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
$0.80 / $0.80 / $0.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.70 / $0.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.22 / $1.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.13 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $1.10 / $1.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.46 / $1.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.46 / $0.87