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Hawaii rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.02 / $10.02 / $10.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5.46
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $7.84 / $7.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.56 / $7.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $6.44 / $8.19
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.29 / $6.93