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Texas 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–$60%10%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%50%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$2.00 / $3.39 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $4.79
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $0.95 / $2.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $0.52
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $1.58 / $3.80
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.91 / $1.91 / $1.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.55
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $8.32 / $8.32
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $1.02 / $1.91
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $1.07 / $1.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.70 / $2.19
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.93 / $1.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.31 / $0.44 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.50 / $0.65
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.12 / $1.12