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Hawaii rates for HCPCS J9201

Injection, gemcitabine HCl, not otherwise specified, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.32 / $244.32 / $430.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.19 / $175.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.35 / $7.35 / $7.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $4.04
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.75 / $4.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $3.32 / $4.70
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $4.38 / $61.43