go back

Hawaii rates for HCPCS Q4158

Kerecis Omega3, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $67.27 / $67.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $76.95 / $90.55
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.36 / $115.36 / $132.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $80.73 / $94.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.27 / $81.48 / $100.91