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Hawaii rates for HCPCS A6221

Gauze, nonimpregnated, sterile, pad size more than 48 sq in, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.56 / $2.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.89 / $1.89
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.16 / $4.36 / $4.36