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Virginia 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–$100%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%20%10th90th$1$0.2$2.0$20.0$200.0$2.0K

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
$9.77 / $9.77 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.10 / $2.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $0.48 / $0.98
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.60 / $0.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $1.23 / $1.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.78 / $1.15
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.60 / $0.91 / $1.45
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.72 / $0.72
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $0.98 / $100.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.98 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.55 / $0.89