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Hawaii rates for HCPCS Q4227

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.56 / $1,172.56 / $1,184.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.54 / $1,172.56 / $1,172.56
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.35 / $1,573.97 / $1,810.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.81 / $1,407.07 / $1,641.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.55 / $1,172.56 / $1,758.84