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South Carolina rates for HCPCS A6454

Self-Adherent Bandage Elastic Non-Knitted/Non-Woven Width Greater Than Or Equal To Three Inches And Less Than Five Inches Per Yard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.87 / $0.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.15 / $2.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.00 / $1.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.53 / $0.69