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California 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
$0.52 / $0.56 / $5.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.91 / $5.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.75 / $1.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.81
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.88 / $4.13
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $4.92 / $7.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.15 / $2.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.54 / $5.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $9.71 / $14.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $3.99 / $3.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.95 / $2.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $2.06
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $3.67 / $3.67
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.50 / $1.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.88 / $2.18