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Hawaii rates for HCPCS J1951

Injection, leuprolide acetate for depot suspension (Fensolvi), 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.24 / $268.24 / $268.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $140.99
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.26 / $199.26 / $199.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.09 / $169.19 / $197.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.94 / $163.78 / $211.49
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.76 / $165.14 / $176.06