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

Pennsylvania 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.

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

$1.20

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1.20 for this service. The price depends on where it is billed: about $1.20 from a physician practice, and about $1.86 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.20$0.98 to $1.48
FacilityA hospital or hospital-owned outpatient department$1.86$0.95 to $7.59

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $13Professionalmedian $1 · 10th to 90th $1 to $2
$1$10$100$1K$10Kfacility $2professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.95
Median
$0.95
Typical High
$1.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.20
Typical High
$1.70
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$1.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$2.69
Typical High
$2.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.88
Typical High
$3.80
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.38
Typical High
$2.00
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.95
Median
$1.20
Typical High
$14,125.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.20
Typical High
$1.70
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$7.08
Typical High
$12.02
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.86
Typical High
$1.91
United
Setting
Professional
Modifier
Global
Typical Low
$0.76
Median
$0.98
Typical High
$1.70

Where Pennsylvania sits

The same service costs 1.9 times more in Minnesota than in California. 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.

Pennsylvania· 37th of 51

$1.20

MN $1.95CA $1.00

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.