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Hawaii rates for HCPCS Q4176

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $158.49 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $162.18 / $169.82
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $190.55 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $173.78 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $125.89 / $165.96