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West 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
$1.07 / $1.07 / $1.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.21 / $1.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.93 / $3.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $2.34 / $4.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $0.99 / $9.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.97 / $1.95