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Hawaii rates for HCPCS J9030

BCG live intravesical instillation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $5.70 / $5.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.29 / $7.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $3.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $3.74 / $3.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.91 / $4.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.31 / $4.88
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.40 / $3.69