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Wisconsin 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
$1.12 / $1.12 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.12 / $1.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $1.95 / $3.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.95 / $2.22
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $4.17 / $4.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.41 / $6.32 / $8.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $2.81 / $3.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.43 / $1.95
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.58 / $2.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.10 / $2.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.07 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.58 / $1.95
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.93 / $5.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $3.96 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $8.55 / $9.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.97 / $1.62