go back

Oregon 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
$347.54 / $347.54 / $347.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.77 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.37 / $2.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $0.96 / $1.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.05 / $1.15
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $1.07 / $1.27
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.10 / $1.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.04 / $1.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.96 / $1.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.21 / $1.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.46 / $0.88