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Self-Adherent Bandage, Elastic, Width 3 to 5 in

Montana rates for HCPCS A6454

Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 3 in and less than 5 in, per yd

Rates data updated July 2026.

How much does Self-Adherent Bandage, Elastic, Width 3 to 5 in cost?

$0.87

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $0.87 for this service. The price depends on where it is billed: about $0.83 from a physician practice, and about $1.07 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.83$0.62 to $1.07
FacilityA hospital or hospital-owned outpatient department$1.07$0.91 to $1.15

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $0 to $2
$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $1professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.66
Typical High
$1.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$87,096.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$1.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$1.15
Typical High
$1.15
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$1.07
Typical High
$2.09
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.07
Typical High
$2.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.62
Median
$1.05
Typical High
$1.41
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.20
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$0.41
Median
$0.46
Typical High
$0.56

Where Montana sits

The same service costs 2.0 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $0.87 · 11th of 51
MN $1.10KY $0.55

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.