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Texas 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
$1.28 / $4.48 / $4,447.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.28 / $1.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $2.19 / $5.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $2.27
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.53 / $2.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.85 / $1.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.40 / $3.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.53 / $2.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.90 / $1.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.95 / $2.63