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New Hampshire 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
$1.02 / $1.02 / $1.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.02 / $1.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.59 / $1.59 / $2.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.97 / $1.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.57 / $2.31