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Hawaii rates for HCPCS J7307

Etonogestrel (contraceptive) implant system, including implant and supplies

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.89 / $1,220.80 / $3,889.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,214.63 / $1,214.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.00 / $1,171.00 / $1,821.95
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.44 / $910.04 / $1,070.63