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Hawaii rates for HCPCS A6453

Self-adherent bandage, elastic, nonknitted/nonwoven, width less than 3 in, per yd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $3.20 / $3.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.26 / $0.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.97 / $0.97
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.92 / $0.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.97 / $1.10
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.73 / $0.84