go back

Rhode Island 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
$0.80 / $0.80 / $0.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.85 / $1.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.75 / $3.90 / $4.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.39 / $2.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.97 / $1.62