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

Texas 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$70%10%10th90th$2Professionalmedian $1 · 10th–90th $1$20%20%10th90th$1$1.0$5.0$20.0$100.0$500.0$2.0K

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
$1.29
Median
$4.37
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.26
Typical High
$1.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$2.04
Typical High
$5.37
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$0.93
Typical High
$0.93
Christus
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$6.61
Typical High
$6.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$2.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$14.79
Typical High
$14.79
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$1.74
Typical High
$2.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.91
Typical High
$2.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$1.70
Typical High
$2.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
United
Setting
Facility
Modifier
Global
Typical Low
$0.56
Median
$0.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$0.69
Median
$0.89
Typical High
$1.17
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$2.00
Typical High
$2.69