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Hawaii rates for HCPCS A6224

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq in, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.55 / $3.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $6.02 / $6.02
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $5.73 / $5.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.66 / $7.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $5.42 / $6.81
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $4.55 / $5.20