go back

Nebraska 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
$1.61 / $1.61 / $1.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.61 / $1.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.87 / $1.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.80 / $4.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $2.74 / $3.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.97 / $2.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $2.50 / $4.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.31 / $4.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.90 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.97 / $1.62