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Wisconsin 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%50%90th$1Professionalmedian $1 · 10th–90th $1$20%20%40%10th90th$1$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$1.82 / $1.82 / $1.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $1.05 / $1.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.16 / $5.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $1.41 / $2.09
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $0.91 / $1.58
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.04 / $7.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $1.10 / $2.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.55 / $5.50
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $1.74
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $1.26 / $2.19
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.70 / $3.16
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.55 / $1.38 / $5.50
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.12
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.36 / $0.55 / $1.32