go back

Hawaii rates for HCPCS A6242

Hydrogel 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
$2.27 / $2.60 / $6.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $10.08 / $10.08
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.59 / $9.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.82 / $12.82 / $12.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.81 / $9.07 / $11.42
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $7.63 / $8.72