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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $2.97 / $2,847.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.72 / $0.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.93 / $2.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $1.28
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.85 / $1.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.05 / $1.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.30 / $2.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.73 / $0.85 / $1.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.50 / $0.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $1.10 / $1.49