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Rhode Island 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
$0.45 / $0.45 / $0.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.47 / $0.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.54 / $2.20 / $2.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.77 / $1.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.55 / $0.91