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Wisconsin rates for HCPCS A6455

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

Facilitymedian $2 · 10th–90th $2$30%50%10th90th$2Professionalmedian $1 · 10th–90th $1$30%50%90th$1$1.0$5.0$20.0$100.0$500.0$2.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $6.31 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.82 / $3.80
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.62 / $2.82
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $2.82 / $11.22
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.95 / $4.37
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.98 / $9.77
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $2.24 / $3.89
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.25
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.45 / $9.77
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.65 / $0.98 / $1.58