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Hawaii rates for HCPCS J7351

Injection, bimatoprost, intracameral implant, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.66 / $412.66 / $412.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $215.97 / $293.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $213.84 / $213.84
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.44 / $306.44 / $306.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.23 / $256.61 / $299.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $251.87 / $320.76
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.15 / $253.97 / $270.76