# HCPCS A6453: Self-adherent bandage, elastic, width 3in to 5in, per yard

Medicare HCPCS A6453 pays $0.90 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $0.90 in Wyoming to $1.06 in Puerto Rico, a 18% spread.

Web page: https://www.med-reveal.com/rates/A6453-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $0.90 |
| National facility | $0.90 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $1.06 | $1.06 |
| Alabama | $0.90 | $0.90 |
| Alaska | $0.90 | $0.90 |
| Arizona | $0.90 | $0.90 |
| Arkansas | $0.90 | $0.90 |
| California | $0.90 | $0.90 |
| Colorado | $0.90 | $0.90 |
| Connecticut | $0.90 | $0.90 |
| Delaware | $0.90 | $0.90 |
| District of Columbia | $0.90 | $0.90 |
| Florida | $0.90 | $0.90 |
| Georgia | $0.90 | $0.90 |
| Hawaii | $0.90 | $0.90 |
| Idaho | $0.90 | $0.90 |
| Illinois | $0.90 | $0.90 |
| Indiana | $0.90 | $0.90 |
| Iowa | $0.90 | $0.90 |
| Kansas | $0.90 | $0.90 |
| Kentucky | $0.90 | $0.90 |
| Louisiana | $0.90 | $0.90 |
| Maine | $0.90 | $0.90 |
| Maryland | $0.90 | $0.90 |
| Massachusetts | $0.90 | $0.90 |
| Michigan | $0.90 | $0.90 |
| Minnesota | $0.90 | $0.90 |
| Mississippi | $0.90 | $0.90 |
| Missouri | $0.90 | $0.90 |
| Montana | $0.90 | $0.90 |
| Nebraska | $0.90 | $0.90 |
| Nevada | $0.90 | $0.90 |
| New Hampshire | $0.90 | $0.90 |
| New Jersey | $0.90 | $0.90 |
| New Mexico | $0.90 | $0.90 |
| New York | $0.90 | $0.90 |
| North Carolina | $0.90 | $0.90 |
| North Dakota | $0.90 | $0.90 |
| Ohio | $0.90 | $0.90 |
| Oklahoma | $0.90 | $0.90 |
| Oregon | $0.90 | $0.90 |
| Pennsylvania | $0.90 | $0.90 |
| Rhode Island | $0.90 | $0.90 |
| South Carolina | $0.90 | $0.90 |
| South Dakota | $0.90 | $0.90 |
| Tennessee | $0.90 | $0.90 |
| Texas | $0.90 | $0.90 |
| Utah | $0.90 | $0.90 |
| Vermont | $0.90 | $0.90 |
| Virgin Islands | $0.90 | $0.90 |
| Virginia | $0.90 | $0.90 |
| Washington | $0.90 | $0.90 |
| West Virginia | $0.90 | $0.90 |
| Wisconsin | $0.90 | $0.90 |
| Wyoming | $0.90 | $0.90 |

## Related codes

- A6196: Alginate dressing, wound cover, sterile, pad size 16 sq in or less — https://www.med-reveal.com/rates/A6196-hcpcs-fee-schedule
- A6216: Gauze, non-impregnated, non-sterile, pad size 16 sq in or less — https://www.med-reveal.com/rates/A6216-hcpcs-fee-schedule
- A6222: Gauze, impregnated with other than water/normal saline, sterile, pad size 16 sq in or less — https://www.med-reveal.com/rates/A6222-hcpcs-fee-schedule
- A6234: Hydrocolloid dressing, wound cover, sterile, pad size 16 sq in or less — https://www.med-reveal.com/rates/A6234-hcpcs-fee-schedule
- A6242: Hydrogel dressing, wound cover, sterile, pad size 16 sq in or less — https://www.med-reveal.com/rates/A6242-hcpcs-fee-schedule
- A6248: Hydrogel dressing, wound filler, gel, per fluid ounce — https://www.med-reveal.com/rates/A6248-hcpcs-fee-schedule
- A6402: Gauze, non-impregnated, sterile, pad size 16 sq in or less — https://www.med-reveal.com/rates/A6402-hcpcs-fee-schedule
- A6407: Packing strips, non-impregnated, sterile, per linear yard — https://www.med-reveal.com/rates/A6407-hcpcs-fee-schedule

Commercial negotiated rates for A6453 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules