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Hawaii rates for HCPCS J9155

Injection, degarelix, 1 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
$4.45 / $4.49 / $502.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $8.15 / $8.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.45 / $5.62
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $5.33 / $5.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $5.34 / $6.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.72 / $6.68
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.75 / $5.52