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New Mexico 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
$1.41 / $1.41 / $1.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $1.28 / $1.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.22 / $9.77 / $16.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.55 / $1.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.24 / $3.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.53 / $1.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $2.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.83 / $1.24