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Washington 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
$1.10 / $2.50 / $2.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.10 / $2.61
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.70 / $14.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $2.29 / $3.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $2.54 / $4.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.65 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.90 / $2.15
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.95 / $1.95
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.70 / $3.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.90 / $2.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.66 / $1.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.00 / $1.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.86 / $1.66