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

Illinois rates for HCPCS A6455

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

Rates data updated October 2026.

How much does Self-Adherent Bandage, Elastic, Width 5 in or Greater cost?

$1.10

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $1.10 for this service. The price depends on where it is billed: about $1.10 from a physician practice, and about $2.88 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.10$0.93 to $1.48
FacilityA hospital or hospital-owned outpatient department$2.88$1.82 to $9.77

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $17Professionalmedian $1 · 10th to 90th $1 to $2
$1$2$5$10$20facility $3professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.91
Median
$1.10
Typical High
$2.00
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.91
Median
$1.10
Typical High
$1.58
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.46
Median
$0.55
Typical High
$0.79
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.18
Median
$0.22
Typical High
$0.33
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.14
Median
$0.16
Typical High
$0.24
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.09
Median
$0.11
Typical High
$0.16
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$1.70
Median
$4.07
Typical High
$16.98
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$0.93
Median
$1.48
Typical High
$1.48
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1.66
Median
$2.29
Typical High
$5.01
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$2.51
Typical High
$2.51
Molina
Setting
Professional
Modifier
None
Typical Low
$0.91
Median
$0.91
Typical High
$0.91
United
Setting
Professional
Modifier
None
Typical Low
$0.83
Median
$0.98
Typical High
$2.34

Where Illinois sits

The same service costs 2.6 times more in Hawaii than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 30th of 51

$1.10

HI $2.14UT $0.83

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.