go back

Hawaii rates for HCPCS Q4173

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $352.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.95 / $349.01 / $349.01
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.47 / $554.55 / $637.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.92 / $418.82 / $488.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.18 / $349.02 / $650.75