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DermACELL, DermACELL AWM or DermACELL AWM Porous

Hawaii rates for HCPCS Q4122

DermACELL, DermACELL AWM or DermACELL AWM Porous, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated October 2026.

How much does DermACELL, DermACELL AWM or DermACELL AWM Porous cost?

$107

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $107 for this service. Most negotiated rates run $107 to $158.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $107 · 10th to 90th $107 to $174
$100$200professional $107

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$102.33
Typical High
$102.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$165.96
Typical High
$204.17
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$107.15
Typical High
$125.89
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$213.80
Median
$213.80
Typical High
$213.80

Where Hawaii sits

The same service costs 4.4 times more in North Dakota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 40th of 51

$107

ND $182KY $41.69

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.