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Hawaii rates for HCPCS J9219

Leuprolide acetate implant, 65 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,855.86 / $4,000.45 / $4,096.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,819.82 / $4,819.82 / $6,352.22
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,759.68 / $5,759.68 / $5,759.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,399.80 / $5,684.00 / $8,526.00
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,200.00 / $5,100.00 / $6,000.00