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Hawaii rates for HCPCS A2007

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.86 / $200.86 / $205.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.00 / $212.10 / $330.00