go back

Arizona rates for HCPCS A6455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.17 / $1.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $1.23 / $3.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.72 / $4.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.95 / $3.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.83 / $9.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.83 / $1.24