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South Carolina 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
$1.55 / $1.55 / $1.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.55 / $1.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.02 / $3.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.04 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.94 / $3.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.93 / $1.17