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Hawaii rates for HCPCS A2005

Microlyte Matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.12 / $145.37 / $254.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $216.38 / $216.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.28 / $254.57 / $381.86