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Hawaii rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,509.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,920.73 / $1,920.73
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,128.89 / $2,447.00 / $2,814.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.85 / $1,793.29 / $2,092.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,728.65 / $2,241.62