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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 October 2026.

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

$2.04

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $2.04 for this service. The price depends on where it is billed: about $2.04 from a physician practice, and about $2.51 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$2.04$1.51 to $2.19
FacilityA hospital or hospital-owned outpatient department$2.51$2.04 to $112

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $115Professionalmedian $2 · 10th to 90th $1 to $79
$1$2$5$10$20$50$100facility $3professional $2

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
Professional
Modifier
None
Typical Low
$0.52
Median
$1.55
Typical High
$2.63
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$2.00
Median
$2.51
Typical High
$117.49
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$2.00
Median
$2.51
Typical High
$120.23
Providence
Setting
Facility
Modifier
None
Typical Low
$2.04
Median
$2.04
Typical High
$2.04
Providence
Setting
Professional
Modifier
None
Typical Low
$1.51
Median
$2.04
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$0.79
Median
$0.83
Typical High
$1.23

Where Montana 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.

Montana· 3rd of 51

$2.04

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.