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Hawaii rates for HCPCS A6402

Gauze, nonimpregnated, sterile, pad size 16 sq in or less, without adhesive border, each dressing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.18 / $0.18
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.17 / $0.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.21
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.14 / $0.16