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Hawaii rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $90.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.92 / $104.61 / $104.61
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.73 / $127.28 / $146.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.35 / $107.29 / $125.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.92 / $104.61 / $134.12