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Hawaii rates for HCPCS Q4175

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $92.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.42 / $82.85 / $91.54
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.68 / $100.80 / $115.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.69 / $109.85 / $128.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.42 / $82.85 / $137.31