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Hawaii rates for HCPCS A6258

Transparent film, sterile, more than 16 sq in but less than or equal to 48 sq in, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $6.03 / $8.13
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $6.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $3.02 / $6.46