go back

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1,722.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.53 / $0.68 / $0.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.29 / $1.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.89 / $1.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.82 / $2.57
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $0.96 / $1.87
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.96 / $1.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.55 / $0.87