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Hawaii rates for HCPCS J1595

Injection, glatiramer acetate, 20 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.75 / $63.75 / $63.75
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.45 / $77.45 / $77.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.50 / $62.50 / $93.75