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Idaho rates for HCPCS A6455

Self-Adherent Bandage Elastic Non-Knitted/Non-Woven Width Greater Than Or Equal To Five Inches Per Yard

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.43 / $2.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.67 / $2.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.85 / $1.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.41 / $3.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.37 / $2.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.83 / $1.53