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Montana rates for HCPCS A6455

Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 5 in, per yd

Facilitymedian $2 · 10th–90th $1–$60%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $69,183.10 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.04 / $2.04
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.91 / $3.72
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.91 / $3.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.86 / $2.34
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $2.04 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $0.83 / $1.00