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Hawaii rates for HCPCS A6247

Hydrogel dressing, wound cover, 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
$8.91 / $10.18 / $24.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $39.46 / $39.46
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.86 / $37.56 / $37.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.22 / $50.22 / $50.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $35.51 / $44.75
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.49 / $29.89 / $34.14