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New York 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
$0.85 / $1.19 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.19 / $1.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $3.13
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.62 / $1.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $3.57 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.63 / $4.23
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.69 / $1.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.12 / $1.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $3.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $1.10 / $2.15
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.39
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $1.12 / $1.19