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Washington 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–$20%10%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$30%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
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $1.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $4.79 / $4.79
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $0.55 / $0.55
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.46 / $1.20 / $2.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $1.29 / $2.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $1.07 / $1.10
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $1.10
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $1.70 / $2.09
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $1.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $0.95 / $1.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $0.46 / $0.87
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $0.95 / $1.70