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Alaska rates for HCPCS A6455

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.85 / $2.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.85 / $5.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.90 / $1.90 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.90 / $1.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.85 / $2.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.62 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.11 / $4.86