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Pennsylvania 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
$0.38 / $0.54 / $0.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.67 / $0.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
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
Professional
Modifier
Low / Median / High Price
$1.15 / $1.49 / $1.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.54 / $0.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.67 / $1.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.60 / $2.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.04 / $1.04
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.04 / $1.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.55 / $0.91