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Utah rates for HCPCS A6455

Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 5 in, per yd

Professionalmedian $1 · 10th–90th $1–$50%50%90th$1$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.74 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.38 / $1.38
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.95 / $2.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.00 / $2.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.83 / $1.23