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

New Jersey 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 $1 · 10th–90th $1$40%20%40%10th90th$1Professionalmedian $1 · 10th–90th $1$20%10%20%10th90th$1$1.0$2.0$5.0

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
$0.95
Median
$1.32
Typical High
$4.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.62
Median
$1.20
Typical High
$1.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.40
Typical High
$3.47
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.29
United
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$0.65
Typical High
$0.65
United
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.10
Typical High
$2.04