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Nebraska 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
$0.90 / $0.90 / $0.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.90 / $0.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.06 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.52 / $2.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.53 / $1.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.55 / $1.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.40 / $2.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.26 / $2.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.60 / $2.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.55 / $0.81