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Hawaii rates for HCPCS Q4229

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $461.36 / $465.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $625.23 / $625.23
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.99 / $796.54 / $897.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.49 / $553.63 / $645.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.36 / $562.71 / $692.04