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Hawaii rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.16 / $8.16 / $8.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $4.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.16 / $8.16 / $8.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $5.81
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.19 / $5.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $4.13 / $5.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.76 / $5.18
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.51 / $5.47