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Hawaii rates for HCPCS J9226

Histrelin implant (Supprelin LA), 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $52,480.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $50,118.72
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48,977.88 / $48,977.88 / $48,977.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40,738.03 / $51,286.14 / $64,565.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43,651.58 / $45,708.82 / $51,286.14