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Hawaii rates for HCPCS Q4140

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $161.62 / $163.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $175.25 / $206.17
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.51 / $262.66 / $302.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.79 / $193.95 / $226.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.62 / $185.55 / $242.43