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Hawaii rates for HCPCS A4500

Surgical stockings below knee length, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.00 / $6.17