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Restorigin

Hawaii rates for HCPCS Q4191

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

Rates data updated July 2026.

Professionalmedian $661 · 10th–90th $182$1,4790%50%10th90th$661$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$1,047.13
Typical High
$1,288.25
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,479.11
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$1,230.27