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New Jersey 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
$0.53 / $0.53 / $0.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.53 / $0.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.44 / $1.93
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.55 / $0.83