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Hawaii rates for HCPCS Q4110

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $65.41 / $66.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.60 / $66.70 / $78.48
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $100.00 / $112.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.95 / $78.48 / $91.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $70.64 / $98.12