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Hawaii rates for HCPCS Q4123

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $70.79 / $70.79
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $57.54 / $67.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $173.78 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $87.10 / $125.89