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Hawaii rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $924.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.48 / $585.27 / $915.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.06 / $745.62 / $818.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.60 / $1,098.09 / $1,281.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.48 / $915.09 / $1,372.64