go back

Hawaii rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.93 / $41.93 / $52.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.29 / $31.95 / $37.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $34.47 / $39.93