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

Montana 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$60%20%10th90th$2Professionalmedian $1 · 10th–90th $1$40%20%10th90th$1$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$37.15
Median
$37.15
Typical High
$37.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$1.17
Typical High
$2.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$69,183.10
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$2.04
Typical High
$2.04
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.91
Typical High
$3.72
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$1.91
Typical High
$3.72
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.86
Typical High
$2.34
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$2.04
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$0.74
Median
$0.83
Typical High
$1.00