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Ohio 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
$1.24 / $1.24 / $4.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.24 / $1.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.11 / $2.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $2.34 / $2.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.54 / $4.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.56 / $1.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.97 / $1.24