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Hawaii rates for HCPCS Q4187

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $245.47 / $288.40
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $204.17 / $239.88
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
$125.89 / $190.55 / $269.15