go back

Self-Adherent Bandage, Elastic, Width 5 in or Greater

Idaho rates for HCPCS A6455

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

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $1$30%10%10th90th$2Professionalmedian $1 · 10th–90th $1$30%10%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0

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
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$1.29
Typical High
$2.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.86
Typical High
$3.09
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.19
Typical High
$2.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.91
Typical High
$2.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.95
Typical High
$2.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$2.19
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$3.02
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.51
Typical High
$4.68
United
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.83
Typical High
$1.12