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

Washington 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$40%10%10th90th$2Professionalmedian $1 · 10th–90th $1$30%10%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0

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
$1.10
Median
$1.10
Typical High
$2.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$1.17
Typical High
$2.63
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$2.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$2.63
Typical High
$4.37
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$2.69
Typical High
$4.07
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$32.36
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1.55
Median
$1.91
Typical High
$1.95
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.45
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$3.02
Typical High
$3.72
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$1.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.70
Typical High
$2.19
United
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$1.29
Typical High
$1.58
United
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.83
Typical High
$1.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.70
Typical High
$3.02