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Hawaii rates for HCPCS Q4186

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $207.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $170.76 / $190.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.58 / $242.05 / $272.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.28 / $181.40 / $211.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $171.00 / $226.76
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.33 / $159.86 / $204.25