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Hawaii rates for HCPCS J9155

Injection, degarelix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $5.01
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.37 / $6.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.57 / $5.13