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Virginia 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 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.17 / $1.17 / $1.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.19 / $3.16
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $2.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.62 / $2.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.29 / $1.29
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.74 / $100.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.74 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.98 / $1.51