go back

Massachusetts 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
$0.85 / $0.85 / $0.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.95 / $1.25
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $2.22 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.90 / $9.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.99 / $0.99
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $1.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $1.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.11 / $9.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.11 / $2.19