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Tennessee 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
$0.56 / $0.64 / $0.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.68 / $0.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.10 / $2.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $5.48 / $8.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.50 / $0.64