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Hawaii rates for HCPCS A6207

Contact layer, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.14 / $7.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $12.18 / $12.18
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.07 / $11.59 / $11.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $15.50 / $15.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $10.35 / $13.82
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $9.23 / $10.54