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Hawaii rates for HCPCS Q4217

WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $318.00 / $321.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $445.04 / $445.04
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.24 / $541.46 / $622.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.80 / $381.60 / $445.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.00 / $400.53 / $477.00