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Hawaii rates for HCPCS A5122

Skin barrier; solid, 8 x 8 or equivalent, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $7.46 / $7.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.88 / $16.88 / $16.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $12.32 / $23.39
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.26 / $22.26 / $22.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.88 / $21.26 / $29.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.92 / $16.88 / $26.51
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.51 / $17.71 / $20.23