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Hawaii rates for HCPCS A6254

Specialty absorptive dressing, wound cover, sterile, pad size 16 sq in or less, with any size adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.52 / $1.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.99 / $1.99
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.90 / $1.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.52 / $2.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $1.69 / $2.27
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.51 / $1.73