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Hawaii rates for HCPCS A6455

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.82 / $2.45
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.98 / $1.95