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Hawaii rates for HCPCS J3145

Injection, testosterone undecanoate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $3.64 / $3.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.84 / $2,362.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $2.80 / $2.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.48 / $2.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $3.11
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.99 / $2.48