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Washington rates for HCPCS A6454

Self-Adherent Bandage Elastic Non-Knitted/Non-Woven Width Greater Than Or Equal To Three Inches And Less Than Five Inches Per Yard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.41 / $1.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.62 / $1.47
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.96 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $0.96 / $8.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $1.09 / $1.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $1.10 / $1.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $30.00 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $1.07 / $1.21
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.10 / $1.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.96 / $1.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.07 / $1.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.94 / $1.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.56 / $0.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.94