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New York 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
$0.47 / $0.67 / $1.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.67 / $1.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $1.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $2.00 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.49 / $2.39
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.63
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.63 / $0.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $1.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.66 / $1.38
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.77
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.63 / $0.66