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

Wisconsin 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 $2$40%50%10th90th$2Professionalmedian $2 · 10th–90th $1$30%20%10th90th$2$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
$1.12
Median
$1.12
Typical High
$3.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.17
Typical High
$1.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$3.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$2.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$6.31
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$2.82
Typical High
$3.80
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.62
Typical High
$2.82
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.82
Typical High
$11.22
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.95
Typical High
$4.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.98
Typical High
$9.77
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
Network Health
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$2.24
Typical High
$3.89
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.62
Typical High
$2.82
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.95
Typical High
$1.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.02
Typical High
$5.25
Quartz
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$8.71
Typical High
$10.00
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
Security Health
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
United
Setting
Professional
Modifier
Global
Typical Low
$0.65
Median
$0.98
Typical High
$1.58