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Michigan 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
$1.48 / $1.48 / $1.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $1.48 / $1.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $5.58 / $11.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.02 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $0.99 / $2.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.41 / $2.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.10 / $1.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.92 / $1.50