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Hawaii rates for HCPCS Q4169

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,089.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,068.46 / $2,068.46
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,458.10 / $2,825.40 / $3,249.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.32 / $2,482.17 / $2,895.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.46 / $2,670.50 / $3,102.71