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Hawaii rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $75.84
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $69.94 / $72.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.24 / $47.18 / $55.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $58.97 / $915.88