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New Mexico 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
$0.32 / $0.72 / $0.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $5.51 / $9.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.88 / $1.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.26 / $1.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.85 / $0.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $1.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.46 / $0.69