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Hawaii rates for HCPCS J3316

Injection, triptorelin, extended-release, 3.75 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.28 / $3,817.28 / $3,817.28
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,118.82 / $5,118.82 / $5,118.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,199.00 / $4,580.72 / $5,344.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,796.38 / $4,249.43 / $5,725.92