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

Louisiana 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$40%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1$20%10%20%10th90th$1$1.0$2.0$5.0$10.0$20.0

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
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.38
Typical High
$1.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.26
Typical High
$1.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$2.88
Typical High
$4.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Christus
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$39.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
United
Setting
Facility
Modifier
Global
Typical Low
$0.98
Median
$0.98
Typical High
$0.98
United
Setting
Professional
Modifier
Global
Typical Low
$0.55
Median
$0.89
Typical High
$1.20