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Hawaii rates for HCPCS A6209

Foam dressing, wound cover, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $5.01 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $10.47 / $14.13
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $12.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $5.25 / $11.22