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Hawaii rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.40 / $3.60
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.48