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Oklahoma 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
$0.65 / $0.65 / $0.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.64 / $0.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.96 / $0.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $0.72 / $1.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.63 / $5.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.52 / $0.65