go back

Hawaii rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $549.54 / $549.54
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $371.54 / $467.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $173.78 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $245.47 / $1,258.93