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Connecticut 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
$1.25 / $1.25 / $1.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.25 / $1.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.93 / $4.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.97 / $1.48