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Hawaii rates for HCPCS Q4156

Neox 100 or Clarix 100, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $65.88 / $66.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.33 / $65.88 / $76.84
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.19 / $97.92 / $112.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.47 / $79.06 / $92.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.33 / $76.84 / $98.82