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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
$31.62 / $31.62 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.82 / $3.89 / $4.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.38 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.12 / $1.62