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Hawaii rates for HCPCS Q4137

AmnioExcel, AmnioExcel Plus or BioDExcel, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $101.72 / $102.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $122.17 / $140.02
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.54 / $178.38 / $205.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.89 / $122.06 / $142.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.72 / $126.02 / $152.58