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Hawaii rates for HCPCS A2013

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.60 / $1,344.60 / $1,377.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,301.51 / $1,350.00 / $2,025.00