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Utah 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

Professionalmedian $1 · 10th–90th $0–$50%10%20%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $1.00 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.78 / $0.78
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $1.10 / $1.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.12 / $1.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.46 / $0.69