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Illinois 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
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.17 / $1.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.75 / $12.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.46 / $1.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.48 / $4.72
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $2.65 / $2.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.97 / $1.62