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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

Facilitymedian $1 · 10th–90th $1–$10%50%10th90th$1Professionalmedian $1 · 10th–90th $0–$50%10%20%10th90th$1$0.5$2.0$10.0$50.0$200.0

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
Facility
Modifier
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.14 / $151.36
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.91 / $1.41
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $1.07 / $1.23
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.07 / $1.10
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.10 / $1.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $0.98 / $1.51
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $1.05 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.46 / $0.78