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Hawaii rates for HCPCS Q4117

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.81 / $23.81 / $24.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $24.39 / $24.39
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.29 / $24.47 / $28.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $27.66 / $43.04