go back

Minnesota 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
$1.24 / $1.24 / $1.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.24 / $1.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.02 / $3.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $1.85 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $6.21 / $14.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.62 / $2.86
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.51 / $5.69 / $13.58
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.25 / $2.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.95 / $2.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.93 / $3.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.83 / $2.57