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Hawaii rates for HCPCS Q4160

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,784.38 / $2,784.38 / $2,812.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.81 / $112.71 / $2,784.38
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.24 / $143.60 / $161.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,062.82 / $3,341.25 / $3,898.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.81 / $2,784.38 / $4,176.57