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Ohio 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
$0.70 / $0.70 / $1.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.70 / $0.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $81.00 / $81.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.61 / $1.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.32 / $1.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.43 / $2.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.40 / $1.28
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.86 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.52 / $0.70