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North Dakota 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
$1.42 / $1.42 / $1.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.24 / $1.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $2.16 / $2.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.52 / $3.52 / $4.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.27 / $2.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $1.95 / $3.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.83 / $1.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.83 / $2.57