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Louisiana 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
$1.12 / $1.38 / $1.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.38 / $1.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $2.90 / $4.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.21 / $1.21
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.92 / $1.39