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Hawaii rates for HCPCS Q4141

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.97 / $106.97 / $108.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $45.58 / $106.97
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.91 / $55.45 / $63.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.66 / $128.36 / $149.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.74 / $96.27 / $160.46