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Arizona rates for HCPCS A6455

Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 5 in, per yd

Facilitymedian $1 · 10th–90th $1–$30%5%10th90th$1Professionalmedian $1 · 10th–90th $1–$20%50%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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $1.05 / $3.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.40 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.70 / $3.47
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $0.83 / $9.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.17 / $1.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.69 / $0.83 / $1.23