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Hawaii rates for HCPCS Q4225

AmnioBind or DermaBind TL, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,427.45 / $1,441.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,488.74 / $1,751.46
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.22 / $2,231.35 / $2,514.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.20 / $1,712.94 / $1,998.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.45 / $1,576.31 / $2,141.17