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Hawaii rates for HCPCS Q4128

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $30.20 / $40.74
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $44.67 / $56.23
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
$30.20 / $36.31 / $125.89