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West 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
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $2.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $5.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.56 / $0.95