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Hawaii rates for HCPCS Q4258

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $90.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.89 / $88.10 / $89.75
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.26 / $107.19 / $123.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.72 / $107.70 / $125.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.89 / $88.10 / $134.63