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Hawaii rates for HCPCS A5121

Skin barrier; solid, 6 x 6 or equivalent, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.31 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $11.22 / $15.85
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $13.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $12.88 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.98 / $4.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $9.12 / $14.13