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Hawaii rates for HCPCS A6454

Self-adherent bandage, elastic, nonknitted/nonwoven, width greater than or equal to 3 in and less than 5 in, per yd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.33 / $0.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $1.21 / $1.21
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.14 / $1.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $1.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $1.09 / $1.37
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.91 / $1.04