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

Utah 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?

$0.69

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $0.69 for this service. Most negotiated rates run $0.52 to $0.95.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $1 · 10th to 90th $0 to $1
$0.5$1.0$2.0$5.0$10.0$20.0$50.0facility $0professional $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
Facility
Modifier
Global
Typical Low
$0.28
Median
$0.28
Typical High
$0.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.28
Median
$0.66
Typical High
$1.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$0.55
Typical High
$0.55
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.72
Median
$1.00
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$0.78
Typical High
$0.95
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.12
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.12
Typical High
$1.15
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.12
Typical High
$1.82
United
Setting
Professional
Modifier
Global
Typical Low
$0.36
Median
$0.46
Typical High
$0.65

Where Utah 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.

Utah $0.69 · 30th 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.