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Pennsylvania 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 / $1.19 / $31.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.19 / $1.55
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
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
Professional
Modifier
Low / Median / High Price
$2.04 / $2.64 / $2.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $1.38 / $31.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.19 / $1.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.80 / $3.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.85 / $1.85
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.85 / $1.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.97 / $1.62