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Washington, DC 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
$1.31 / $1.31 / $1.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.31 / $1.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.08 / $1.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $3.86 / $3.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.97 / $1.70