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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

Facilitymedian $2 · 10th–90th $1–$90%10%10th90th$2Professionalmedian $1 · 10th–90th $0–$10%10%20%10th90th$1$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $4.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $5.89 / $9.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.87 / $1.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $1.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.55 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.95 / $1.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $1.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.46 / $0.69