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Oklahoma rates for HCPCS A6455

Self-Adherent Bandage Elastic Non-Knitted/Non-Woven Width Greater Than Or Equal To Five Inches Per Yard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.04 / $1.14 / $1.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.28 / $3.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $1.11 / $9.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.91 / $1.18