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New Jersey 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
$0.95 / $0.95 / $0.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.95 / $1.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.54 / $3.41
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $0.97 / $1.46