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Hawaii rates for HCPCS A6257

Transparent film, sterile, 16 sq in or less, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.66 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.52 / $2.52
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.40 / $2.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $2.14 / $2.87
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.91 / $2.18