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

Maryland 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 $9 · 10th–90th $5$100%10%20%10th90th$9Professionalmedian $1 · 10th–90th $1$20%10%20%10th90th$1$1.0$2.0$5.0$10.0

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
$5.25
Median
$8.71
Typical High
$10.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.20
Typical High
$1.86
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$1.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.19
Typical High
$3.02
United
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$2.00
Typical High
$2.00
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.98
Typical High
$1.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$0.85
Typical High
$1.70