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Hawaii rates for HCPCS J0275

Alprostadil urethral suppository (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.72 / $25.72 / $25.72
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.91 / $27.91 / $27.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.87 / $71.44 / $107.16
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $15.44 / $18.17