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Hawaii rates for HCPCS A5126

Adhesive or nonadhesive; disk or foam pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.45 / $2.04
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.62 / $1.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.71 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.29 / $1.78