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Hawaii rates for HCPCS Q4154

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $131.90 / $133.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $173.23 / $173.23
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.63 / $220.70 / $242.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.09 / $158.28 / $184.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.90 / $155.91 / $197.85