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Tennessee 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
$1.00 / $1.12 / $1.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.21 / $1.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.95 / $4.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.96 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.71 / $9.71 / $14.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.91 / $1.13