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Virginia 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
$1.21 / $1.21 / $1.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.21 / $1.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.08 / $1.08
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $2.27 / $3.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.53 / $2.43
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $3.00 / $4.55
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.74 / $3.32
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.74 / $3.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.97 / $1.60