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Hawaii rates for HCPCS J3240

Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,853.42 / $3,853.42 / $3,853.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.48 / $2,906.34 / $3,873.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,853.43 / $3,853.43 / $3,853.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $2,116.32
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.15 / $3,019.15 / $3,019.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,327.96 / $2,539.59 / $2,962.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,116.32 / $3,174.48
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.88 / $2,040.49 / $2,502.17