go back

Hawaii rates for HCPCS Q4121

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.75 / $52.75 / $53.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $52.75 / $58.14
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.67 / $70.73 / $81.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.03 / $63.30 / $73.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.42 / $52.75 / $79.13
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.31 / $52.74 / $62.50